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Senior Patient Accounts Representative in Akron, Ohio, US at TeamHealth

Date Posted: 2/22/2021

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

JOB DESCRIPTION OVERVIEW:

The Patient Accounts Senior is responsible for assisting with the training of new employees, monitoring productivity and monthly staff quality audits, and perform duties to post payments to patient accounts.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Search billing system to identify an appropriate account to which a processed payment is then applied, as well as ensure the appropriate allowables policy us utilized. Monitor, research, and   resolve unidentified payments. 
  • Perform quality audits as directed by the department supervisor and manager.
  • Make appropriate Medicare and managed care adjustments to insure proper crediting and contract compliance. Research and resolve contractual payment disputes. 
  • Responsible for the training of new staff, as well as remedial training of existing staff.
  • Communicate errors to payment posters and review corrections.
  • Ensure that posted batches are closed on a daily basis.
  • Receives, handles, researches, and resolves customer service problems.
  • Maintains responsibility for work processing and production quotas for assigned individuals and teams and works with the Patient Accounts Manager to assure that the department is meeting goals.
  • Maintains responsibility for quality assurance, monitors Patient Accounts Representatives as assigned.
  • Provides leadership, instructions, and feedback to Patient Accounts Representatives on the conduction of business within the department.
  • Researches issues or problems as identified by the Patient Accounts Representatives.
  • Posts payments and adjustments from patient statements and commercial carriers, Medicare, Medicaid, and Blue Shield remittance advices.
  • Reports performance and workload issues to the Patient Accounts Manager.
  • Work with representatives in ETM (Enterprise Task Manager) to properly complete their workflow and address issues that arise.
  • Load, process, and balance electronic remittance advice, including denial handling.
  • Process denials received on bulk carrier payments.
  • Search billing system to identify correspondence without checks, denials, problems, or transactions.
  • Reports problems and issues to the Patient Accounts Supervisor as well as status of workload for the payment posting and zero voucher posting for individual assigned Billing Areas.
  • Other duties as assigned by the Supervisor, Manager or Director of Reimbursement.
  • Loads, processes, and balances electronic remittance advices, including denial handling.
  • Identify issues with the Cash Clearing system. (CCS)
  • Work and maintain ETM escalation view

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • High school diploma or equivalent
  • Over 3 years experience posting medical payments or 3 years general medical billing experience on computerized billing system.
  • Ability to read remittance advices
  • Proficiency in 10-key number pad and adding machine
  • Effective telephone communication skills
  • Must have strong leadership skills and be able to make informed decisions.
  • Must have an understanding of the revenue cycle and how reimbursement is affected.
  • Mandatory overtime at direction of management.

SUPERVISORY RESPONSIBILITIES:

  • None

PHYSICAL / ENVIRONMENTAL DEMANDS:

Productivity standards and month-end closing schedules may create a stressful environment.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, and fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.