Patient Account Representative (Medicare Biller)

Encompass Health Tucson , AZ 85704

Posted 5 months ago

Encompass Health Rehabilitation Institute of Tucson

Central Location

The Patient Account Representative is responsible for all Medicare billing, collections and account reconciliation for any and all assigned accounts.

Job Code: 100087

License or Certification:

  • None

Education, Training and Years of Experience:

  • High School Degree or GED preferred

  • Preferred 2 years previous business office billing and collection experience

  • Knowledge of UB, 1500 claim forms, CPT codes, HCPC codes and ICD-9 codes

  • Strong third party payor knowledge

  • Working knowledge of Excel

Machines, Equipment Used:

  • General office equipment such as telephone, copy machine, fax machine, calculator, computer.

Physical Requirements:

  • Good visual acuity and ability to communicate.

  • Ability to lift a minimum of 30 pounds and ability push/pull a minimum of 50 pounds. Reasonable assistance may be requested when lifting, pushing, and/or pulling are undertaken which exceeds these minimum requirements.

  • Ability to withstand prolonged standing and walking.

  • Ability to reach, stoop, bend, kneel, and crouch are required for patient care functions and in setting up and monitoring equipment.

Compliance:

  • Adheres to the company's Standards of Business Conduct.

  • Maintains current licensure and/or certifications, if applicable.

Skills and Abilities:

  • Ability to speak, read, write, and communicate effectively.

  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines in a detail-oriented manner.

  • Ability to work independently without supervision.

Environmental Conditions:

  • Indoor, temperature controlled, smoke-free environment. Occasional outdoor exposure.

  • Exposure or potential exposure to blood and body fluids may be required.

  • Handicapped accessible.

  • May work under stressful circumstances at times.

Proficiency or Productivity Standards:

  • Meets established attendance standards.

  • Adheres to hospital/department dress code including wearing ID badge.

  • May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.

  • May be required to work on religious and/or legal holidays on scheduled days/shifts.

  • Will be required to work as necessary during disaster situations, i.e., before, during or after a disaster.

  • May be required to stay after workday to assist after a disaster situation until relief arrives.

  • May be required to perform other duties as assigned by supervisor.

Address: 2650 North Wyatt Drive, Tucson 85712

Shift: Day Job

Job ID: 1918701


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Access Services Representative Admitting

Banner Health

Posted 2 days ago

VIEW JOBS 10/18/2019 12:00:00 AM 2020-01-16T00:00 If you're looking to leverage your abilities to make a real difference – and real change in the health care industry – you belong at Banner Health. With facilities in six western states, we're committed to not only providing the finest care possible, but to advancing the way care is provided. To achieve our vision, we seek driven professionals who embrace change and who possess the passion and skills to make it happen. As a Patient Access Services Representative - Admitting, you will be mobile the majority of each day, visiting patients on the hospital floor who have been admitted from the ER or transferred to the hospital. You will handle insurance prior authorization and verification of medical benefits/medical coverage, calculating patient liability according to verification of insurance benefits, and collecting deposits and co-payments. You will be joining a team with a great foundation, always striving to help each other exceed expectations. Recognition is a constant focus in this department to ensure our team members know their contributions are valued and appreciated! Experience working with patient registration / insurance verification / collections in a hospital setting is a plus. The schedule for this position is a full-time, day shift (36/hr a week, 3-12 hour shifts), with weekend and holiday availability required. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options, so you can focus on being the best at what you do and enjoying your life. * -- About Banner - University Medical Center Tucson Banner - University Medical Center Tucson is nationally recognized for providing exceptional patient care, teaching future health-care professionals and conducting groundbreaking research. Also located on the campus is Diamond Children's - recognized for its specialized pediatric services including neonatal and intensive care, emergency medicine and cancer therapies. Banner - University Medical Center Tucson is Southern Arizona's only Level 1 Trauma Center, meaning we care for the most critically injured patients. The hospital is consistently listed among the nation's top hospitals in the prestigious Best Hospitals ranking by U.S. News & World Report. Our nurses' innovative, safe and thoughtful care has been recognized with Magnet ™ designation from the American Nurses Credentialing Center. The hospital's physicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty services include comprehensive heart and cancer care, advanced neuroscience techniques and a multi-organ transplant program. For more information about Tucson, please visit: VisitTucson.org About Banner Health Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. * -- Job Summary This position conducts customer service, registration, point of service collections, may validate and/or obtain authorizations from payers in order to maximize reimbursement. Provides a customer-oriented interaction with each patient in order to maximize customer experience. Obtains all required consents for each registration. Document all facets of the registration process, loads correct payer(s) to each account and meet accuracy goals as determined by management. Collect payments and regular collection targets as determined by management. May perform financial counseling when appropriate. Meets productivity targets as determined by management. Demonstrates the ability to resolve customer issues and provide excellent customer service. Essential Functions Helps provide a positive customer experience by welcoming patient to facility, introducing self, explaining what rep intends to do with patient, thanking them for choosing Banner Health. Performs pre-registration/registration processes, verifies eligibility and obtains authorizations submits notifications and verifies authorizations for services. Verifies patients demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patients insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management. Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management. May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources, offers and assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program). Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patients needs in financial services. Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve process and practices good teamwork. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team. Minimum Qualifications High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.Employees working at Banner Behavioral Health Hospital or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required Preferred Qualifications CHAA certification is preferred. Work experience with the Companys systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. Banner Health Tucson AZ

Patient Account Representative (Medicare Biller)

Encompass Health