Remote Patient Account Representative

*COVID vaccine mandate now in effect. Must provide proof of vaccination or have a medical or religious declination reviewed/approved before contractor may start. Must wear required PPE at all times regardless of vaccination status*

Patient Account Representative
Catholic Medical Centre
100 McGregor St, Manchester, NH 03103

CONTRACT: 13wks

SHIFT: 8a-4:30p M-F - NOT REMOTE
GUARANTEE: 40-hrs



SUBMISSION REQUIREMENTS (Must be combined into 1 PDF file)
Filled out coversheet (blank coversheet attached)
Resume/work history
2 recent reference and/or evaluation preferred

QUALIFICATIONS:

Education:

High school diploma, equivalent, or 3-5 years relevant experience in Medical Billing.

Experience:

Minimum two year's medical billing experience in a health care setting preferred.

Knowledge of Word & Excel

POSITION SUMMARY:

Assists in the preparation of outpatient accounts for billing. Maintains accurate accounts in relation to charging, insurance, collection and refund activity.

WORK SCHEDULE:

Generally Monday through Friday, days. Ability to adjust schedule to meet the needs of the organization.

Roles & Responsibilities :

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Under the general direction of the Director, Accounts Receivable, and the direct supervision of the Team Leader/Supervisor and within established departmental policies and procedures, the incumbent performs the following functions:

1. Verifies the correct entry of information into the billing system including but not limited to insurance information, diagnostic coding, type of bill, status code, dates of service and provider number.

2. Ensures that bills are system generated as soon as possible following discharge.

3. Reviews and sends bills to the proper insurer, either by mail or via electronic billing.

4. Ensures that bills reflect the proper charges. Brings questionable items to the supervisor's attention. Initiates adjustments to bills to reflect proper charges.

5. Utilizes the Blue Cross VDT for follow-up or correction to Blue Cross and Medicare claims and to determine eligibility.

6. Determines proper disposition of credit balances on accounts and initiates refund or transfer of funds.

7. Reviews all action logs and responds.

8. Retrieves information to provide documentation for adjustments and transfer of funds.

9. Purges files.

1. Exercises care in the operation and use of equipment and reference materials. Ensures routine cleaning and preventative maintenance to ensure continued functioning of equipment.

2. Participates in appropriate role in disaster and fire drills, fires and other emergency situations.

3. Maintains confidentiality of all employee, legal, patient and company matters.

4. Performs similar or related duties as assigned or requested.

Minimum Qualifications :

KNOWLEDGE, SKILLS AND ABILITIES

Individuals must possess the following knowledge, skills and abilities or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:

1. Physical requirements include ability to extend hand(s) and arm(s) in any direction; pick, pinch, type or otherwise work primarily with fingers; raise objects from a lower to a higher position or move objects horizontally from position to position, sustain substantial movement of wrists, hands and/or fingers.

2. Ability to express or exchange ideas by means of the spoken word. Essential functions include activities in which incumbent must convey detailed or important information to employees, patients, internal staff and third party payors.

3. Ability to receive detailed information through oral communication and make fine discrimination in sound.

4. Ability to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Essential functions involve sitting most of the time.

5. Visual acuity sufficient for work which deals largely with preparing data and figures, accounting, transcription, computer terminal operation and extensive reading.

6. Ability to perform repetitive or routine duties working from detailed instructions and under standard procedures. Requires the making of minor decisions.

7. Ability to maintain good communications, establish and maintain positive working relationships with employees and patients.

8. Ability to work with frequent interruptions; respond appropriately to unexpected situations.

QUALIFICATIONS:

Education:

High school diploma, equivalent, or 3-5 years relevant experience in Medical Billing.

Experience:

Minimum two year's medical billing experience in a health care setting preferred.

Knowledge of Word & Excel

Licensure/Certification:

None

Standard of Business Conduct

Individuals are required to refrain from participating in any activities that could be construed as fraud and abuse. Requires the ability to follow Catholic Medical Center's Standards of Business Conduct in any instance where you feel there is suspicion of fraud or abuse, or a violation of the law. The Standards of Business Conduct requires that suspicion or knowledge of any person(s) in violation of the Code be reported to the Corporate Compliance Officer. The extent to which you comply with the requirements contained within the Code will be a factor in evaluating your overall job performance.

Skills :

N/A

Work Authorization :

• Green Card
• US Citizen

Skills : IT