Patient Accounting Rep I

Patient Accounting Rep I

Requirements

• High School Graduate or GED.

Responsibilities

• Posts payments, refunds and adjustments to accounts within designated time frame.
• Completes assigned work queue within designated time frame.
• Balances receipts, reconciles daily batches and prepares audit trail in accordance to department guidelines.
• Reviews Explanation of Benefit’s for incorrect and or inconsistencies in reimbursement.
• Identifies consistent fee schedule allowable differences and communicates up line for updating.
• Communicates payer trends to management.
• Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account.
• Provides additional information or documentation as needed to resolve account.
• Notes actions taken on the accounts and verifies and updates insurance as directed by department policy.
• Processes adjustments on accounts as necessary in compliance with department policy.
• Enrolls, validates and re-validates practitioners’ information with government and commercial payers.
• Updates databases, monitors Medicare, Medicare and Commercial payer websites for revalidation notices and communicates provider changes to contracted health plans and departments utilizing standardized reports.
• Assists with processing applications in accordance to organization’s policy, procedures and health plan requirements.
• Audits provider data to assure accuracy as assigned.
• Communicates roster changes from physician groups.
• Review department specific Epic Charge work queues, make corrections and follow up with departments as needed.
• Review daily Epic charge router reconciliation report make sure all charges are filed and interfaced.
• Assist departments with charge error corrections including duplicate, missing or rejected charges.
• Analyze revenue trending reports and escalate problems to manager and departments as appropriate.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

Preferred Qualifications

• 1 or more years of experience in Epic.