Bwpo Sr. Patient Account Rep / 40 Hours / Day / Surgery Billing

Wentworth-Douglass Hospital Needham , MA 02492

Posted 6 months ago

The Brigham and Woman's Physician Organization (BWPO) has the need for a Sr. Patient Accounts Representative reporting to the Sr. Billing Manager/or Patient Account Manager. Activities and duties of the Sr. Patient Account Representative involve the follow up of outstanding patient invoices, interacting with insurance companies on appeal of inappropriately denied/or paid services, and response to patient inquiries (both written and verbal) regarding their bills.

Principle Duties:

  • Responsible for daily management of accounts receivable process and follow up in the Billing System (Epic), including daily screening and correcting of claims for accuracy.

  • Review, correction and completion of edit queues weekly for the particular insurance (s) assigned.

  • Follow-up on pending claims, this includes following up with the insurance company, document the findings and gather and send the necessary documentation to process the claims.

  • Responsible for the appeals process. This also includes gathering the information necessary to process the appeal accurately. Such as finding researching payer websites, identifying the correct diagnoses and/or procedure code, pulling of documentation such as EOB's, requesting medical records, reviewing registration/eligibility and benefits, as well as documenting all work performed on the patient invoice.

  • Customer Service calls. Responsible for handling customer service calls and demonstrate excellent customer service skills, listening, problem solving, professionalism, etc

  • Management, follow up and resolution of credit balances and adjustments within assigned accounts receivable.

  • Handle confidential information with accordance with HIPPA standards.

  • All other duties assigned.

Qualifications

Basic Qualifications:

  • High School diploma or equivalent required.

  • A Minimum of 1 year experience in a healthcare preferred.

  • Excellent organizational skills

  • Once fully trained have a complete understanding of the entire appeals process from start to finish

  • Strong Interpersonal skills, service orientation and team work

  • Knowledge of Physician third party billing and collections preferred

  • Thorough knowledge of third party reimbursements preferred

  • Basic proficiency in Microsoft Word and Excel

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Bwpo Sr. Patient Account Rep / 40 Hours / Day / Surgery Billing

Wentworth-Douglass Hospital