Patient Account Representative Position Available In York, South Carolina

Patient Account Representative 3.0 3.0 out of 5 stars 410 Oakland Avenue, Rock Hill, SC 29730

SUMMARY :

Patient Account Services Representative is responsible for the complete revenue cycle management for all payer sources. This includes the billing and collections for all payers.

Duties and Responsibilities:

• Approve claims for billing of behavioral health, nutrition, chronic care management and all other special program related services. Correct any claims that have errors.
• Monitor all system reports to ensure timely filing requirements.
• Verify correct PPS rate is received for FQHC claims billed to Medicare and Medicaid. Verify correct payment is received for all other insurance types.
• Review all manuals, updates and guidelines to ensure proper guidelines are followed for each payer source.
• Verify insurance of all patients throughout the organization.
• Follow procedures as outlined by the Manager to ensure correct claims processing for each payer source.
• Meet productivity goals established by Manager.
• Inform CFO/RCM of any system problem or payer problems that prevent the collecting of the amount due for claims.
• Prints all necessary billing forms.
• Update CPT and ICD10 codes in computer
• Posts all insurance payments. This will include manually inputting checks as well as processing electronic payments.
• Monitor private pay accounts. Follow established procedures. After final attempt to collect, adjust as bad debt.
• Post all private pay payment received via the mail or from walk in patients.
• Follow up on Explanation of Benefits (EOB’s) and Remittance Advice (RAD’s) from insurance companies where either no payment or only partial payments received.
• Work insurance changes to financial classes sent to you by clinic staff. Update and bill all accounts as necessary.
• Follows-up on insurance returned mail
• Assist with new procedure for special programs
• Complete all CMS monthly and quarterly related reports
• Answer patient informational requests (both in person and on the telephone).
• Other duties as assigned by supervisor Education/Experience
• High School Diploma or General Education Degree required
• Certified Billing and Coding Specialist certification (CBCS) for NHA required
• A minimum of 2 years’ experience in a similar role strongly preferred

QUALITIES &CHARACTERISTICS

• Maintains a professional relationship and positive attitude with co-workers, the public, patients and all CMF
• Maintains the highest professional ethics and is honest in dealing with people; is a model for all employees through his/her actions
• Strives to learn more and is receptive to learning different ways of doing things
• Displays enthusiasm toward the work and the missions of

CMF Knowledge, Skills and Other Abilities:

• Analytical skills
• Detail oriented and organized
• Computation skills
• Written and oral communication skills
• Problem solving skills
• Ability to work collaboratively or independently
• Ability to establish and maintain effective working relationships with others

Physical Demands and Work Environment:

• May require prolonged sitting
• Able to move small equipment, supplies, etc.
• Must be able to hear on the phone and in person, and speak clearly in order to communicate information to clients, vendors and staff
• Must have vision which is adequate to use computers and work with numbers
• Must have high manual dexterity
• Must be able to reach above the shoulder level to work, bend, squat and sit, stand and twist Travel Requirements Occasionally you might be instructed to travel away from your primary work site to work at another site.

Personal extenuating circumstances that would prohibit you from traveling to another site may be taken into consideration

Job Type:

Full-time Expected hours: 40 per week

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Day shift Monday to

Friday Experience:

Medical billing: 2 years (Preferred)

License/Certification:

Billing and Coding Specialist Certification (CBCS) (Required) Ability to

Commute:

Rock Hill, SC 29730 (Required)

Work Location:

In person