Patient Account Representative

Description Rsponsibilities: · Account Reps: Follows up on unpaid accounts in patient accounting systems with the payers either by phone or via websites. Works payer denials based on claim process adjudication; Review accounts for possible underpayments; research contracts, guidelines and resolve payment with payer. Perform appeals with payer. Performs bad debt request transfers as applicable. Performs or requests adjustment and contractual write offs as applicable. · Billers: Reviews EPIC worklists and edits accounts as needed; Reviews Cirius claim edits and resolves edits; Reviews and resolves electronic acknowledgement payer rejections/denials; Rebills claims based on requests from Follow Up reps due to denials received. Resends claim as needed. · Cash Posting Reps: Posts payments; Work EPIC undistributed payment worklist; Posts adjustments related to payments. Processes refunds for accounts payable. Posts payment transfers from detail oriented billing to hospital billing. · Data Control Reps: Enters charges; Reviews EPIC worklist accounts with charge issues and resolves; Researches charge issues and follows up with departments as needed. Complete charge corrections including adding diagnosis, transferring or reversing charges, combining accounts. · Patient Advocacy Reps: Completes and processes charity applications; Reviews and validates high dollar self pay accounts before outsourcing to outside vendor; Handles patient calls and complaints. Requests referral of accounts to bad debt as applicable. · Maintains detail oriented communication with various PFS staff, medical center staff, payors, physicians, and patients regarding the billing of services rendered at Medical Center. Communication may consist of telephone, correspondence, or in person contact. · Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager/Coordinator. Requirements · 1 year experience working in healthcare (i.e. admitting, medical records, physicians office, healthcare payer/insurance) or completion of a medical billing trade school certificate or 2+ years experience working in accounting within a non-healthcare industry (banking, finance, etc.) Knowledge. · Ability to follow oral and written instructions and interpret institutional and other policies accurately · Ability to gather, analyze, and display data in appropriate format and keep accurate records · Ability to maintain confidentiality of sensitive information · Ability to perform basic mathematics · Ability to plan, prioritize and meet deadlines · Ability to work effectively with individuals at all levels of the organization · Knowledge of accounts receivable system like SMS, IDX, or Meditech · Knowledge of computer systems and software used in functional area · Knowledge of medical reimbursement policies and procedures · Knowledge of medical terminology and insurance claim procedures common to medical billing and accounts receivable operations · Knowledge of one or more of the following: Medicare, Medi-Cal, Worker's Comp or · Managed Care (HMO,PPO,POS, etc) · Knowledge of principles and practices of customer service and telephone courtesy · High School Diploma or GED Required Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .