PATIENT ACCOUNT REP I

Patient Account RepresentativeIf you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.Day - 08 Hour (United States of America)This is a Stanford Health Care job. A brief overview the Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various capacities to support the primary goal of the business office to resolve of unpaid, underpaid, denied or unresolved patient accounts. Depending on the specific team, the PAR's focus may be on a mix of various responsibilities from across the Patient Financial Services (PFS) operations. Responsibilities may include:Accounts receivable collections and payer follow-upPayer basic clerical denial review and request processingPayment posting and batch reconciliationCredit balance review and resolutionRetroactive eligibility and registrationUnderpayment reconciliationClient or other special billingThe PAR I is an entry-level position. Under initial close supervision, a PAR I can perform clearly-defined and routine duties. A PAR I may be responsible for responding to straight-forward queries or issues, and is able to recognize when to refer or escalate issues to others.Locations Stanford Health CareWhat you will doResponding to requests from the payer, such as providing medical records or other documentation either by mail or via payer portalsFielding incoming correspondence for the business office and distributing it appropriatelyWorking in Epic; resolving work queues, finding Epic documentation, or performing other follow-up or business office-related activitiesPerforming printing and mailing functionsElectronic or hardcopy claims editing and submission to payersBasic claims follow up, denials, underpayments, or payer rejectionsEducation QualificationsHigh School diploma or GED equivalentExperience QualificationsOne (1) year of directly-related work experience.Required Knowledge, Skills and AbilitiesMeets weekly individual productivity goals and standards while following planned priorities as set by the Team ManagerCan maintain professional communication with various PFS staff, payers, and patients regarding the billing of services.Ability to follow oral and written instructions and interpret institutional and other policies accuratelyAbility to communicate clearly and professionally both verbally and in writingAbility to maintain confidentiality of sensitive informationAbility to perform basic mathematicsAbility to plan, prioritize, and meet deadlinesAbility to work effectively with individuals at all levels of the organizationKnowledge of accounts receivable software systems and medical billing operationsFamiliarity with medical reimbursement policies and procedures and medical terminologyKnowledge of payer landscape, including Medicare, Medicaid, Workers' Compensation, Managed Care, or other Commercial insuranceLicenses and CertificationsNoneThese principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective:Know Me: Anticipate my needs and status to deliver effective careShow Me the Way: Guide and prompt my actions to arrive at better outcomes and better healthCoordinate for Me: Own the complexity of my care through coordinationEqual Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.Base Pay Scale: Generally starting at $32.42 - $36.48 per hourThe salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.