Patient Account Rep – Hospital Billing

Patient Account Rep – Hospital Billing

Requirements

• High School diploma or equivalency
• Two (2) years related work experience in a hospital or physicians billing setting
• Understands Medicare, Medi-Cal HMO, PPO and 3rd party rules and regulations
• Understands the basics of contracting
• Works in a collaborative and team manner
• Strong verbal and written communication skills

Responsibilities

• Perform billing and account follow-up, and customer service activities
• Ensure claims are billed timely and accurately using the Hospital Claims Scrubber Tool
• Report all unbilled claim information and issues that may delay billing to Management
• Receive and process correspondence and phone inquiries from patients, payers or any other third party in a timely and professional manner
• Resolve accounts by contacting third party payer organizations or patients to facilitate timely payments
• Keep informed of managed care and contractual arrangements in order to resolve and process accounts by HMO/PPO payers
• Monitor and report on the status of outstanding accounts within assigned unit or area of responsibility
• Follow up on unpaid, denied, and all payment variances for account resolution
• Resolve credit balances that are due to patient and payers
• Post daily cash and adjustments for Hospital and Professional billing
• Ensure all accounts are resolved in a compliant manner and according to all rules and regulations

Preferred Qualifications

No preferred qualifications provided.