Patient Accounts Representative Job at Rocking Horse Community Health Center
Position Title: Patient Accounts Representative
Primary Service Center: Springfield, Ohio (Work from Home but must be from the immediate or surrounding area)
FLSA Status: Non-Exempt (Hourly)
Work Hours: Full-time, 40 hours per week, some evening may be required
Position Summary and Responsibilities: Full-time position responsible for assigned aspects of revenue cycle management related to the billing and collection of payment for services provided to patients of Rocking Horse Center.
- Performs eligibility verification of patient insurance for upcoming appointments using available tools: real-time eligibility system, payer internet portals, phone calls to payer or patients.
- Follows established departmental procedures to accept pending charges from the electronic health record. Or: follows procedures to transfer charge information from paper fee tickets into the Practice Management system (NextGen).
- Informs providers of appointments that have not had charges submitted.
- Performs necessary charge and coding edits to enable submission of a clean claim.
- Follows departmental procedures to carry out the billing process. Processes EDI files and uploads electronic claims to the clearinghouse (Quadax).
- Performs edits on claims in the clearinghouse and addresses claims denied at the clearinghouse level.
- Mails paper primary, secondary and tertiary claims when electronic submission is not available.
- Follows departmental procedures to post payments received from insurance and patients. Uses electronic remit posting when available and practical.
- Follows established guidelines to address payment denials within five days of receipt of the denial. Corrects claims and rebills insurance companies or other third parties to secure payment for patients.
- Monitors accounts receivable for assigned payers. Follows up on claims that remain unpaid after 45 days of bill date to determine and rectify the cause for non-payment.
- Contacts patients regarding outstanding balances. Performs assigned tasks related to generation of patient statements on a monthly basis.
- Responds to patient billing and statement inquiries in a polite and professional manner.
- Establishes budget plans to help patients manage payment of bills.
- Assists the Patient Accounts Manager in the month-end closing and payment reconciliation processes.
- Informs the Patient Accounts Manager of trends in denials or problems encountered during performance of assigned processes.
- Trains appropriate personnel on NextGen billing system as requested.
Requirements: To perform this job successfully, an individual must be able to perform each essential duties satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
- High School diploma required
- 3-6 months medical billing experience or training preferred
- Equivalent combination of education and experience required
- Ability to accurately enter information into computerized billing system
- Ability to function in a team environment
- Demonstrate flexibility towards new concepts
- An outgoing, positive attitude
Pre-screening includes pre-employment drug screen and criminal background check (reimbursed upon negative results). RHCHC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, RHCHC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Please Note :
apexdining.ca is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, apexdining.ca provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.