Patient Account Rep II

Location and Shift Primary City/State: Network Support Services Building 1. Shift: Day. Responsibilities Billing and collecting, research, correspondence, payment and adjustment posting, charge entry, prior authorization, and a host of other duties to assure timely reimbursement to the medical provider. Demonstrate independent problem‑solving skills to bring the account balance to zero within established time frames. Research and secure payment for insurance accounts: follow up required daily accounts based on work‑queue assignment to reduce the A/R. Submit appeal letters on unpaid and underpaid claims. Participate in accounts receivable collections projects as needed to meet department goals. Contact insurance companies to follow up on denials and correspondence. Contact patients regarding insurance related issues. Research recoups and repayments to assure accurate payments that comply with Medicare and managed‑care contract payment methodologies. Work the electronic denial file (835b) to ensure clean claim submission. Review charge‑review work queues as assigned. Research and secure payment for patient balances: follow up required daily accounts based on account work‑queue assignment to reduce cash‑pay A/R. Submit final letters to delinquent accounts. Answer incoming patient calls. Provide support to clinics as needed during patient care hours. Make collection calls to patients to collect past‑due balances. Process credit card payments and post within the patient billing system. Set up payment plans for patients. Review statements to ensure accuracy. Act as a liaison between patient, practice, and insurance carrier regarding complaints and problems. Work with statement and bad‑debt vendors on disputes and ensure accuracy of accounts. Work return mail to update accounts to ensure accuracy. Perform routine data entry and/or review of claim‑edit work queues: input charges for physician billing. Correct denials dropped to the claim‑edit work queues in a timely manner. Maintain current knowledge of regulatory billing requirements for specified payers and specialty‑specific limitations or payer expectations. Process the electronic claims batch daily and initiate printing of paper claims. Handle all payments and correspondence received in the central business office. Process all EFT/ERA, lockbox, mail, POS, and phone payments. Process credit cards and create payment batches. Scan all correspondence into the patient billing system. Process deposits for all incoming payments, including POS from multiple clinics. Set up courier service for new clinics. Post payments and denials into the patient billing system. Process ERA payments and work error work queue. Perform daily batch reconciliation. Follow up on credit work queues to maintain undistributed credits, process refunds, and research incorrect adjustments or payments. Prioritize work to minimize interruptions and increase efficiency in the collections process. Participate in daily DMS huddle and all department meetings. Provide five‑star customer service to patients, coworkers, vendors, and management. Establish and maintain an efficient filing system. Maintain a clean and organized work area. Communicate and engage effectively with others. Participate in training classes as needed to stay current with daily operations. Work in a team environment and participate in constructive feedback. Handle numerous tasks simultaneously and with flexibility. Education & Qualifications High School Diploma or GED – Required. 2 years of healthcare billing and collections experience in a medical practice or healthcare organization – Required. 5 years of healthcare‑related medical professional billing and collections experience – Preferred. Licenses & Certifications No specific licenses or certifications required. #J-18808-Ljbffr 78 HonorHealth Medical Group Support