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Phoebe Putney Health System · 4 weeks ago

Patient Account Rep. - Patient Accounting

Phoebe Putney Memorial Hospital

Full-time

Onsite

Entry, Mid Level

2+ years exp

Phoebe Putney Health System is seeking a Patient Account Representative to manage the billing and follow-up of claims submitted for payment. The role involves preparing and reviewing billing information, serving as a liaison for claim issues, and ensuring compliance with payer guidelines.

Emergency MedicineHealth CareHospitalMedicalNon ProfitOncology

Responsibilities

Prepares billing and follow ups on claims in a timely manner

Performs accurate and timely billing and account reviews ensuring that accurate information has been reviewed before sending to applicable payors or state agencies

Conducts account review ensuring accurate billing information, enters and revises information as needed prior to claim being submitted

Prepares adjustment bills, rebills, reprints claims and/or other source documents

Processes failed claims in biller work file according to carrier specific requirements

Coordinates with concurrent review precert nurse and/or admitting staff on precertification requirements

Prepares daily productivity reports

Serves as liaison between patient, employer, and carrier in resolving claim issues

Communicates with patient, employer and carrier regarding claim status

Processes patient inquiry requests within 24 hours

Assists with Customer Service coverage duties as need arises

Demonstrates knowledge of ever changing payer guidelines and regulations, programs and machines used

Demonstrates mastery of computer programs and office machines used

Creates and maintains via account notes, all correspondence, whether written or verbal, including discussion with carriers, patients or guarantors

Scans correspondence into the ChartMaxx system

Submits Medicare Credit Balance Report quarterly, necessary to ensure that Phoebe Putney Memorial Hospital remains compliant with CMS rules and regulation

Attends seminars and education relating to Medicare, Medicaid and Commercial

Attends and participates in hospital and departmental staff meetings

Documents and submits required information and data in a timely fashion

Clearly and accurately documents designated processes, policies, products, service offerings, etc

Ensures that documentation is tailored to expected readers / users

Uses correct terminology

Conforms to required style and format

Qualification

CPAR certificationBillingClaims processingPayer guidelinesCustomer serviceMicrosoft Office SuiteAnalytical SkillsOrganizational SkillsCommunication SkillsInterpersonal Skills