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Greater Lawrence Family Health Center · 1 month ago

Patient Accounts Billing Representative

Methuen, MA

Full-time

Hybrid

Entry Level

1+ years exp

Greater Lawrence Family Health Center is a multi-site, mission-driven, non-profit organization focused on providing high-quality patient care. They are seeking a Patient Accounts Billing Representative to ensure timely and accurate claims submission, analyze accounts receivables, and handle appeals and corrections to maximize reimbursement.

Health CareHospitalMedical

Responsibilities

Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner

Analyzes and reviews outstanding accounts receivables

Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement

Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service

Prepares claim data according to department and payer regulations in order to produce a 'clean' claim

Prepares, reviews and transmits claims timely to payers, works EDI rejections

Posts charges, payments and denials in practice management system accurately

Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor

Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction

Processes insurance and patient refunds as necessary

Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate

Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch