Sr Patient Accounts Rep - Patient Accounting - Full-Time
Sr Patient Accounts Rep - Patient Accounting - Full-Time
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$ 15 - 21
1 Vacancy
Job Description
The Sr. Patient Accounts Rep reviews assigned A/R to analyze and resolve a variety of complex billing issues. Works closely with doctors and their staff governmental agencies managed care companies third-party insurance companies and various departments/hospital clinics to resolve billing and reimbursement issues. Needs to understand the Health Information System data flow to reconcile system adjustments applied to patient bill. Responsible for understanding all aspects of Medicaid/Medicare billing to file claims with appropriate revenue CPT4 and HCPCS codes. Takes appropriate action steps to resolve patient coworker management requests and revise corrected and adjusted claims. Responsible for reviewing and making necessary contractual adjustments to patient accounts according to Medicaid/Medicare payment methodology. Responsible for working assigned A/R in order to bring account closer to completion. Performs other duties as assigned by department management according to policies and procedures and the mission of Womans Hospital.
Requirements:
- High school diploma or equivalent.
- Five years hospital or healthcare business office experience with insurance pre-certification billing and collections.
- Experience with Medicaid and Medicare programs in Louisiana.
- Epic experience preferred.
Responsibilities:
- Work assigned A/R timely utilizing the Epic work queues.
- Respond to and resolve all legitimate patient and visitor concerns and/or problems as soon as possible after notification.
- Review claims for irregularities accuracy and completeness notifying manager of any corrections needed to Epic system.
- Utilizes the Epic work queues reviews denials assigned and takes necessary action in a timely manner by notifying manager of any negative trends.
- Refile any claims as needed on the electronic vendor system to receive optimal Medicaid/Medicare and/or commercial reimbursement.
- Any other duties as assigned by Womans Hospital.
Schedule:
Full-Time; Monday - Friday
7:30 AM 4:00 PM
Pay Range:
Hourly/Non-Exempt
$15.00 $21.00
A Work Experience with Purpose
Womans is one of the largest specialty hospitals for women and infants in the United States. We are recognized throughout the country for our innovative programs and we pride ourselves in surpassing the expectations of those we serve. Providing exceptional patient care and creating exceptional patient experiences are at the center of what we do at Womans. Our team consistently exceeds state and national benchmarks for patient satisfaction.
Our employees organizational culture mission vision values and benefits make Womans a best place to work. In fact for the17th year in a row Womans has been recognized as aBest Place to Work by Modern Healthcare making us the only healthcare organization to earn the distinction every year since the programs inception. We are proud of the level of care our staff provides to our patients and each other.
If you have any questions or would like to connect with one of our recruiters directly please e-mail.
Womans Hospital is an equal opportunity employer. We do not discriminate on the basis of race color religion sex sexual orientation age disability genetic information veteran status national origin gender identity and/or expression marital status or any other characteristic protected by federal state or local law.
Required Experience:
Senior IC
Employment Type
Full-Time
