Patient Account Representative

Virtua Health Accounts Receivable Claims Representative Virtua is seeking a full-time Accounts Receivable Claims Representative. Schedule: Monday through Friday, 7:30am - 4:00pm or 8:00am - 4:30pm. Hybrid after successful 90-day orientation. Summary: Responsible for accurate and timely billing and account collections. Obtains required billing information/documentation (pre-certifications, 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 pre-certifications. 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, no-pay. 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: 1-3 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. Hourly Rate: $19.54 - $29.20. The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data. Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.