Patient Accounts Representative In Patient Accounts Full-Time Day Shift 24913

Join Our Team at New Bridge Medical Center!**

We are dedicated to providing highquality compassionate care to our diverse community. As a leading healthcare provider we offer a supportive and inclusive work environment. If youre passionate about making a difference and thrive in a collaborative setting New Bridge Medical Center is looking for a Patient Account Representative.

Job Duties

Edit failed claims in the Claims Administrator system and correct data revising claim to a passed status for submission to payor for Primary Secondary Tertiary etc. Where required create multiple claims. If error was due to incorrect information on Paragon then have revisions made to Paragon and then rebill account. Alert department responsible for error to avoid errors in future.
Review delinquent error reports Unbilled Aged Trial Balances to identify reasons claims are held from billing. Satisfy those related to the Billing office. Communicate with the front end departments i.e.: Patient Access Ancillary Departments and Medical Records for edits related to the respective area.
Monitor all related Paragon reports to identify claims requiring combination sequential or interim billing.
Monitor Late Charge reports daily for rebilling.
Medicare Behavioral Health Inpatients review available benefits to determine interim billing period.
Charity Care validate eligibility for service period. Ensure billing data is accurate for recurring account claims.
Review Claims Administrator Reports daily to monitor the following:
Claims Imported
Claims Failed
Claims Not Imported
Edit Statistics (Reasons claims failed)
Prepare and perform followup for special and client billing for various payors.
Monitor responses from clearinghouse and payors to identify returned claims. Adjust claims accordingly for resubmission to the payor.
Review Aged Trial Balances for claims in billed status not yet paid. Perform followup actions where required.
Manage receivables by exception. Followup on those not paid in accordance with expected reimbursement. Contact payor to discuss payment variances submit adjustments where necessary.
Prepare technical appeals where required. Refer accounts for clinical appeal where required.
Analyze identify and report areas of high volume error for enhanced automation opportunity in Paragon or Claims Administrator or corrective actions in front end areas.
Daily monitor and working of tickler system in Receivables Administrator to include the following:
Work ticklers generated by system based on path assignments.
Work ticklers assigned by Claims Management Management Team and Self Pay teams for payor updates.
Monitor followup on all accounts
Utilize Horizon Patient Folder to monitor and followup on hardcopy correspondence.
Monitor and process all requests for Medical Record documentation.
Monitor claims in Medicare FSS.
Maintains established departmental policies and procedures objective
Monitor claims in Medicare FSS.
Maintains established departmental policies and procedures objectives quality assurance program safety environmental and infection control standards.
Promotes adherence to the Patients Bill of Rights.
Understands and adheres to departmental policies and procedures.
Adheres to the Medical Centers Code of Conduct.
Familiar with the Medical Centers Mission Vision and Value statements.
Maintains established departmental policies and procedures objectives quality assurance program safety environmental and infection control standards.
Customer Service: respect flexibility knowledge confidence professionalism pleasant attitude patience and helpfulness. All responses should be timely professional caring and respectful in accordance with Customer Service Performance expectations.
Performs other related duties as required.
Attends required meetings Assists in training of new and established employees.
Performs other related duties as required.

Position Qualifications
Experience
Minimum of 1 year experience in medical billing procedures with familiarity with third party insurer regulations required.

Skills
Typing: 25 WPM (tested) Must pass alphanumeric skills test Intermediate level computer skills required to include Excel and Word.
Computerized billing knowledge essential
Good Oral and Written communication skills Good interpersonal skills Speaks reads and writes English to the extent required by the position.
Ability to plan and utilize time management skills. Computer literate. Good organizational skills.

Education
High school graduation or equivalent required.

Other Duties
Performs other duties as assigned to support the overall objectives of the department and organization

We provide a comprehensive benefits package including a competitive medical dental and vision plans. We prioritize worklife balance with a generous time off policy that includes ample vacation days personal time sick leave and nine paid holidays. Additionally we are committed to the personal and professional growth of our employees offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development.

Required Experience:

Unclear Seniority