Patient Account Representative
Patient Account Representative
Posted on :
17-03-2025
Employer Active
1 Vacancy
The job posting is outdated and position may be filled
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Share
Send me jobs like this
Job Alert
You will be updated with latest job alerts via emailValid email field required
Send jobs
Job Description
Overview
Performs all phases of Third Party Billing and Followup on services provided by EVMS Medical Group clinical staff.
Responsibilities
Billing Functions
- Responsible for the electronic and manual billing to Third Party Payers in a timely proficient fashion and maintaining the Gateway system.
- Review all manual claim forms for accuracy prior to the claim submission.
- Understand the required attachments to claims as they relate to CPT ICD9 and modifier coding practices. Reviews claims for appropriate documentation attachments.
- Ensure that all carrier requirements are supported with claims submitted.
- Communicate with the EVMS Health Services clinical departments hospitals and patients to secure insurance data and/or medical documentation required to file claims.
- Operate the Touchworks Scan filing system to retrieve required documentation referrals and/or other pertinent data to file claims.
- Review IDX claim edit lists to make the necessary corrections to data input errors or missing information.
- Post the insurance billed paycode to all manual filed claims.
- Post the Appeal Sent paycode to all appealed claims.
Insurance Followup functions
- Responsible for the timely followup account research and resolution of outstanding Third Party claims.
- Maintain an IDX paperless collection system (PCS) workfile as assigned by the Insurance Department Supervisor.
- Utilize the PCS tickler system to follow through on the carriers promise to pay claims.
- Identify and have corrections made to any CPT/ICD9/Modifer coding error that prohibits the claim(s) from the final adjudication process.
- Coordinate the exchange of insurance information with the EVMS Health Services clinical departments to expedite claim processing.
- Identify appropriate adjustments to patient accounts for submission to the Senior PAR or the Insurance Department Supervisor.
- Prepare insurance claim forms and/or tracers on unpaid invoices in a timely fashion.
- Handle incoming calls from the insurance carriers and respond to their requests in a timely fashion.
- Other duties as assigned.
Qualifications
Candidates should possess basic computer and keyboarding skills. Must be able to communicate ideas clearly and follow written processes and procedures. Must have ability to maintain composure in stressful situations. Prior medical billing experience highly desired but not required.
Location : Location
USVANorfolk
Required Experience:
Unclear Seniority
Employment Type
Full-Time
Key Skills
Report This Job
Disclaimer: Drjobpro.com is only a platform that connects job seekers and employers. Applicants are advised to conduct their own independent research into the credentials of the prospective employer.We always make certain that our clients do not endorse any request for money payments, thus we advise against sharing any personal or bank-related information with any third party. If you suspect fraud or malpractice, please contact us via contact us page.
