Responsible for reviewing patient account information to ensure accurate and timely billing and collection follow-up efforts. This position focuses on revenue cycle functionality for specialty departments in the Hospital and may included clinic billing.
ESSENTIAL FUNCTIONS/MAJOR RESPONSIBILITIES:
Maintains proficient knowledge of all software products used in billing
Reads email and responds appropriately at beginning and end of shift
Follows directions for special projects, ask questions as needed, able to work independently as needed
Handles Customer Service phone inquiries, either directly with patients or internal departments, as assigned/scheduled
Filing of assigned patient accounts information; uses account comments and clinic notes appropriately
Actively participates in staff meetings and decision making in respect to Hospital and clinic revenue cycle
Assists Business Office Supervisor, or the Director of Patient Financial Services with department specific tasks as requested (i.e. Medicare Chart audits, marketing, etc.)
Shares concerns and ideas with the Business Office Supervisor or Director of Patient Financial Services and/or other staff for the purpose of improving department, Hospital, clinic, and patient outcomes
In the event that an account is past due the PAR II may contact the payer in an attempt to resolve the inhibitor
Responds to, resolves, and helps prevent revenue cycle issues causing claim denial for Hospital and clinic revenue cycle
Provides insurance explanation information to JHC staff or patients as appropriate
Responds to patient and JHC staff inquiries concerning patient billing
Resolves EMR work queue items within 48 hours of their respective appearance in the work queue
Works to accurately release all clean claims within 24 hours of receipt
Works interdependently with assigned departments at JHC to minimize patient billing and collections issues
Other duties as assigned
Responds to patient or insurance questions
Education and/or Experience
Certified Patient Account Technician (CPAT) preferred
Two (2) years of hospital accounts and insurance experience preferred
High school graduate or GED equivalency required
Previous office experience; hospital accounts receivable and insurance experience preferred
Required to write and be verbally fluent in basic medical billing terminology
Required to stay abreast of industry standards and trends
Prefer one (1) year of billing/collections experience
Prefer 1 year of multiple payer guidelines for claims submission.
Prefer Billing/Coding Specialist Certification
Prefer EPIC Certification
1.0 FTE; full-time, 40 hours/week; typically 8-hour shifts, days may vary.
If you are looking to work with an exceptional team of professionals, we encourage you to consider Jefferson Healthcare. Work where your talent is truly appreciated.