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Job Requirements of Patient Accounts Representative - Onsite:
Qualifications / Experience:
Excellent personal computer skills, including proficiency in Microsoft Office. Ability to handle a variety of tasks in a fast-paced environment; knowledge of IDX-BAR preferred.
Excellent problem-solving, communication, organizational, and customer service skills.
Knowledge, skills, and abilities necessary for adequate job performance can be obtained through approximately two (2+) years of experience with payment posting within a multifacility environment, and experience with electronic deposit and posting processes.
Billing experience or graduation from a vocational medical billing course is helpful.
Demonstrated success working in a team environment focused on meeting organizational goals and objectives.
Experience providing visible participation and support of major change initiatives preferred.
Knowledge of basic math and the ability to perform math functions in units of American currency.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to review documents for accuracy.
Ability to determine priorities.
Ability to coordinate schedules and information.
Ability to work well under pressure.
Tact and patience when dealing with individuals at all levels, both within and outside of the company.
Commitment to TeamHealth values.
Ability to communicate effectively orally, in person, on the telephone, and in writing to individuals at all levels, both within and outside of the company.
Knowledge of coordination of benefits requirements and processes.
Knowledge of cash posting regulations and guidelines.
Knowledge of insurance rejection and denial processing, and the ability to appropriately post information for collection and follow-up activity.
Ability to multi-task, set priorities, and follow through without direct supervision.
Ability to type efficiently and accurately (minimum of 45 words per minute), including 10-key.
Ability to operate a computer efficiently and accurately.
Ability to use the internet.
Ability to work well in a team environment and be flexible in a problem-solving environment.
Education:
Education should be equivalent to completion of the 12th grade or a GED.
A minimum of one year of medical billing experience, with an emphasis on accounts receivable.
Excellent communication skills, ability to meet deadlines and production goals, and strong computer skills.
Supervisory Responsibilities:
None
Physical / Environmental Demands:
Good attendance.
Work at a desk utilizing a computer.
Communicate by telephone.
Operation of a PC.
Job is performed in a well-lighted, modern office setting.
Occasional standing and bending.
Occasional lifting and carrying (20 lbs. or less).
Moderate stress.
Prolonged sitting.
Prolonged work on a PC/computer.
Do you meet the requirements for this job?
Patient Accounts Representative - Onsite
Job Description Overview:
The Patient Accounts Representative is responsible for processing credit balances for TennCare, Medicaid, Managed Care, and commercial payers for hospital medicine, clinic, and anesthesia groups.
This position is also responsible for the posting of emergency, clinic, guarantor, and carrier payments, while maintaining accuracy and production.
Under direct supervision, the Patient Account Representative processes insurance and patient payments for assigned states, either manually or electronically. The role is responsible for balancing batches against daily deposits and maintaining daily production reports.
The Patient Accounts Representative carries out responsibilities with the highest standards of ethical and moral conduct, maintains good attendance and punctuality, and acts in the best interest of TeamHealth.
Essential Duties and Responsibilities:
Process credit balances from EOB copies to determine refunds.
Process credit invoices through workfiles.
Assemble appropriate documentation to validate refunds and forward for mailings.
Review credit reports monthly to ensure all credits have been reviewed.
Contact insurance carriers and request EOBs as necessary.
Report any consistent errors identified that affect invoices from being processed correctly.
Perform the posting of all groups’ lockbox receipts in IDX.
Post all group payments to individual invoices in Post Receipts.
Post all rejections listed on payment EOBs.
Maintain copies of guarantor, Medicare, and Medicaid credits for each emergency and clinic group.
Complete the unapplied log sheet and attach copies of the EOBs for each unapplied payment.
Complete the offset log sheet with attached copies of the EOBs for review.
Complete deposit batch logs.
Maintain daily batch logs of all posted batches.
Process payments for insurance companies and patients for assigned regions, either electronically or manually.
Post payment batches, including denials, within established timeframes and balance batches against daily deposits.
Maintain knowledge of coordination of benefits requirements and processes.
Maintain knowledge of insurance rejection and denial processing, and appropriately post information for collection and follow-up activity.
Process payments and denials within established productivity and quality standards.
Notify management of payer denial and payment trends, system issues, workflow issues, or enhancement opportunities.
Function effectively within a team, participating and contributing constructively to produce results in a cooperative effort.
Demonstrate ongoing enthusiasm and commitment to assigned work.
Participate in unit progress meetings.
Maintain all policies and procedures.
Escalate unusual circumstances to the supervisor, including recoups, adjustments, fee schedules, rejections, and related issues.
Perform any and all duties as directed by management.
Job Requirements:
Qualifications / Experience:
Excellent personal computer skills, including proficiency in Microsoft Office. Ability to handle a variety of tasks in a fast-paced environment; knowledge of IDX-BAR preferred.
Excellent problem-solving, communication, organizational, and customer service skills.
Knowledge, skills, and abilities necessary for adequate job performance can be obtained through approximately two (2+) years of experience with payment posting within a multifacility environment, and experience with electronic deposit and posting processes.
Billing experience or graduation from a vocational medical billing course is helpful.
Demonstrated success working in a team environment focused on meeting organizational goals and objectives.
Experience providing visible participation and support of major change initiatives preferred.
Knowledge of basic math and the ability to perform math functions in units of American currency.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to review documents for accuracy.
Ability to determine priorities.
Ability to coordinate schedules and information.
Ability to work well under pressure.
Tact and patience when dealing with individuals at all levels, both within and outside of the company.
Commitment to TeamHealth values.
Ability to communicate effectively orally, in person, on the telephone, and in writing to individuals at all levels, both within and outside of the company.
Knowledge of coordination of benefits requirements and processes.
Knowledge of cash posting regulations and guidelines.
Knowledge of insurance rejection and denial processing, and the ability to appropriately post information for collection and follow-up activity.
Ability to multi-task, set priorities, and follow through without direct supervision.
Ability to type efficiently and accurately (minimum of 45 words per minute), including 10-key.
Ability to operate a computer efficiently and accurately.
Ability to use the internet.
Ability to work well in a team environment and be flexible in a problem-solving environment.
Education:
Education should be equivalent to completion of the 12th grade or a GED.
A minimum of one year of medical billing experience, with an emphasis on accounts receivable.
Excellent communication skills, ability to meet deadlines and production goals, and strong computer skills.
Supervisory Responsibilities:
None
Physical / Environmental Demands:
Good attendance.
Work at a desk utilizing a computer.
Communicate by telephone.
Operation of a PC.
Job is performed in a well-lighted, modern office setting.
Occasional standing and bending.
Occasional lifting and carrying (20 lbs. or less).
Moderate stress.
Prolonged sitting.
Prolonged work on a PC/computer.