Patient Accounts Specialist II – Billing Position Available In Richland, South Carolina

Patient Accounts Specialist II – Billing

LRADAC – 3.3

Columbia, SC Job Details Full-time $20.29 – $26.37 an hour 20 hours ago Qualifications Medical coding Mid-level 3 years High school diploma or GED Medical billing Trade school Associate’s degree Full Job Description Improving Lives. Improving Communities. LRADAC offers a wide array of prevention, intervention and treatment programs in both Lexington and Richland counties, so when you join our team, you are truly improving lives and improving communities. As a part of our dedicated staff, you will be a part of innovative programs and services taking a proactive approach to fighting addition and drug misuse in our schools, businesses, and neighborhoods. We tailor our programs to meet the ever-changing needs of the communities we serve. Our prevention, intervention and treatment programs spread the message that there is hope and that substance misuse and addiction are preventable and treatable. Come join an agency that believes in continuous improvement and training/education for our team members. We are passionate about reaching and renewing lives by restoring hope that change is possible. Under supervision of the Patient Accounts Director, this position assists in the maintenance of the agency’s data management and patient accounts systems. Position Logistics 37.5-hour work week (5-day work week) Routinely Monday-Friday 8:30 AM – 5:00 PM; flex schedule and occasional overtime as approved by supervisor Potential hybrid opportunities upon successful completion of probationary period.

ESSENTIAL DUTIES AND RESPONSIBILITIES

includes the following:

Third Party Insurance Responsibilities:

Responsible for accurately and efficiently processing and submitting claims to insurance companies. Train/update staff. Monitor and resolve Medicaid edit correction and address claim denials. Ensure that payment and billing information is accurate. Research denials and submit corrected claims timely. Post insurance payments to patient system. Acts as contact for patients concerning third party reimbursement. Process contractual adjustments. Track and monitor unpaid claims by generating weekly insurance aging reports. Complete follow-up and contact third party payers regarding unpaid claims in a timely manner. Investigates denials and complete claim appeals as necessary. Alert the Prior Authorization of any denied claims due to prior authorization issues. Process record requests submitted by insurance companies. Process paybacks to insurance companies within two business days of request. Monitors write off reports on a bi-weekly basis. Ensuring compliance with healthcare regulations, including hipaa.

Failed claims management:

Monitor/research failed claims & failed activities. Communicate timely to ensure payer issues get corrected. Communicate to clinical staff as needed to correct documentation to ensure timely claim submission. Escalate payer issues to the Patient Accounts Director as needed.

Patient Account Services:

Post patient payments and adjustments to patient system. Backup for other Patient Accounts staff as needed for both sites. Assist patients with questions or concerns regarding their account

MARGINAL DUTIES

Attends all required meetings and training sessions including insurance and Medicaid. Other duties as assigned. Minimum Education and/or Experience A high school diploma or GED is required. An Associate’s degree (A.A.) or equivalent from a two-year college or technical school is desired. A minimum of three years related experience and/or training are also required; or an equivalent combination of education and experience. Detailed knowledge of medical billing/coding is required. Ability to perform multiple tasks effectively. Excellent problem-solving skills. Please complete the online application to include all current and previous employment history and education. A resume cannot be substituted for completing the employment history and educational fields of the employment application. Incomplete applications will not be considered. •LRADAC maintains a tobacco-free environment. No smoking or use of any tobacco product is permitted in any of its facilities or on any of its properties. •