Patient Accounts Denial Representative
Patient Accounts Denial Representative
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Salary Not Disclosed
1 Vacancy
Job Description
At Virtua Health we exist for one reason to better serve you. That means being here for you in all the moments that matter striving each day to connect you to the care you need. Whether thats wellness and prevention experienced specialists lifechanging care or something inbetween we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14000 colleagues including over 2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and techniques to provide exceptional care close to home. A Magnetrecognized health system ranked by U.S. News and World Report weve received multiple awards for quality safety and outstanding work environment.
In addition to five hospitals seven emergency departments seven urgent care centers and more than 280 otherlocations were committed to the wellbeing of the community. That means bringing lifechanging resources and health services directly into our communities through ourEat Well food access program telehealth home health rehabilitation mobile screenings paramedic programs and convenient online scheduling. Were also affiliated with Penn Medicine for cancer and neurosciences and the Childrens Hospital of Philadelphia for pediatrics.
Location:
PACCT 2000 Crawford PlaceEmployment Type:
EmployeeEmployment Classification:
RegularTime Type:
Full timeWork Shift:
1st Shift (United States of America)Total Weekly Hours:
40Additional Locations:
Job Information:
Summary:
Responsible for accurate and timely billing and account collections.
Obtains required billing information / documentation (precertifications codes insurance information) and enters into database.
Identifies and resolves denied claims escalating accounts as necessary to ensure timely payment of claims.
Assists customers with billing questions.
Prepares and maintains billing and related reports.
Position Responsibilities:
Identifies items to be billed by procedure and services performed.
Obtains necessary documentation for billing and obtains precertifications.
Enters all charges and submits bills in accordance with Patient Accounting policy.
Posts payments performs daily reconciliations produces daily census and performs month end close.
Maintains data in billing management system i.e. updating current and adding new demographic information and ensures that documentation entered is accurate and complete.
Analyzes identifies and trends billing issues to proactively reduce denials and variances.
Works system generated reports such as residual balance credits nopay.
Reports and resolves variances and inefficiencies escalating accounts as necessary to resolve billing issues.
Interacts / communicates effectively with various department staff and assists customer service inquires both internally and externally: liaison with Patient Accounting and Physician billing services employers and insurance carries to ensure accurate and timely billing process.
Maintains open communication with management regarding billing and coding issues including documentation denials/appeals etc.
Follows up on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals.
Position Qualifications Required / Experience Required:
13 years experience in billing collections registration or related hospital / office environment.
Must have fast accurate data entry skills.
Good organizational skills and attention to details.
Must be able to work in a fast paced environment with excellent customer service and interpersonal skills.
PC literate with a working knowledge of Microsoft Office applications (Word Excel Access)
Required Education:
High School diploma or equivalent.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
