Patient Account Rep - Billing

Job Duration: 4 months with the possibility of extension/conversion based on performance and departments' budget and need

Job Description:

We are looking for a Patient Account Rep - Billing Contingent 1 for a very important client.

PURPOSE AND SCOPE: The Patient Account Representative - Bilo: bills, claims and payments. May assist in the preparation of routine reports. Ensure for aling provides administrative support to the daily operations within the assigned function(s). The incumbent generates and analyzes diverse reports and work lists in the identification, research and resolution of routine claim data errors and issues. The Patient Account Representative - Billing supports the assigned function(s) by performing daily billing, adjustment and correspondence activities in compliance with company policies and procedures.

PRINCIPAL DUTIES AND RESPONSIBILITIES: Generate and analyze reports and work lists in the identification and resolution of routine errors and issues, including but not limited tccuracy and timely submission of claims to Medicare, Medicaid, Commercial insurance and Private Pay. Responsible for the timely follow-up and collection of all Accounts Receivables and related reporting. Requires a high level of attention to detail and the ability to problem solve, prioritize, and handle multiple tasks. Must have a vast knowledge of Insurance benefits and various commercial plans to verify insurance and benefits. Assist with various projects as assigned by direct supervisor. Perform all responsibilities in compliance with company policies and procedures. Other duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Occasionally lift and/or move up to 50 pounds.

Requirement:

The ideal candidate will possess the following qualifications:

EDUCATION: High School Diploma required

EXPERIENCE AND REQUIRED SKILLS: Must possess 2-5 years experience in Healthcare Collections. Proficient computer skills with demonstrated proficiency in word processing, spreadsheet and email applications. Working knowledge of insurance regulations, including but not limited to: commercial insurance, Medicaid, Medicare and managed care plans desirable. Proficient knowledge in CPT/HCPCS and E/M codes. Detail oriented with great analytical and organizational skills. Good interpersonal skills with the ability to work cohesively within a team environment. Possess a positive, enthusiastic and energetic attitude. Excellent oral and written communication skills to effectively communicate with all levels of management.

Looking for a candidate that has had Revenue Cycle experience. This position is someone that will be handling insurance collections and review. They need to know how to analyze an explanation of benefits from the payor, denials for coding issues or billing issues which means they need to be familiar with CPT codes and basic billing. Not all of billing, but the basics of billing. They need to know how to resolve the claims issue all the way to full payment based on a fee schedule.