Patient Acct Rep Level II

JOB SUMMARY AND ESSENTIAL FUNCTIONS 100% REMOTE:#Responsible for the accurate and timely processing of patient accounts related to billing, collections and reimbursement service for The Regional Medical Center in accordance with PFS standards, policies and procedures.# Responsible for making the required number and acceptable quality of collection calls per day to obtain the required completion rate.# Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission.# Gathers all the information necessary to process patient claims.# Ensures that daily productivity standards, billing and re-billing files are met to obtain the required completion rate.

MACHINES OR EQUIPMENT OPERATED:

#General office machines and equipment (multi phone lines, copier, fax, microfilm reader, etc.). # JOB REQUIREMENTS: # EDUCATION:#High School diploma or equivalent.

EXPERIENCE:

#Minimum of two (2) years# experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred) and reimbursement verification and/or refunds for government and/or commercial insurance.

General hospital accounts receivable knowledge is required.

College education, previous insurance company claims experience and/or health care billing experience may be considered in lieu of hospital experience.# # KNOWLEDGE, SKILLS AND ABILITIES: Exhibits computer proficiency and general office skills related to billing and data entry with attention to detail, recognition of billing/coding issues, problem resolution and referral to the next level when appropriate, as required within PFS. Demonstrated effective organizational, communication and interpersonal skills.

Ability to understand alternative business office financial resources and ability to provide information and/or recommendations related to these sources of recovery. Ability to work both promptly, efficiently, independently and as part of a team is required. Ability to promote a positive and productive work environment.

Ability to understand Inpatient and Outpatient payment methodologies. Knowledge of the UB-04 Claim Form (general understanding of different codes present on a claim form). Familiar with insurance reimbursement contractual language.

PHYSICAL DEMANDS:

#High volume data entry requires prolonged sitting, manual dexterity and visual acuity.# Requires concentration and constant technical attention to accuracy and detail for extended periods of time.

JOB SUMMARY AND ESSENTIAL FUNCTIONS 100% REMOTE: Responsible for the accurate and timely processing of patient accounts related to billing, collections and reimbursement service for The Regional Medical Center in accordance with PFS standards, policies and procedures.

Responsible for making the required number and acceptable quality of collection calls per day to obtain the required completion rate. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission. Gathers all the information necessary to process patient claims. Ensures that daily productivity standards, billing and re-billing files are met to obtain the required completion rate.

MACHINES OR EQUIPMENT OPERATED: General office machines and equipment (multi phone lines, copier, fax, microfilm reader, etc.).

JOB REQUIREMENTS:

EDUCATION: High School diploma or equivalent.

EXPERIENCE: Minimum of two (2) years' experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred) and reimbursement verification and/or refunds for government and/or commercial insurance.

General hospital accounts receivable knowledge is required.

College education, previous insurance company claims experience and/or health care billing experience may be considered in lieu of hospital experience.

KNOWLEDGE, SKILLS AND ABILITIES:

• Exhibits computer proficiency and general office skills related to billing and data entry with attention to detail, recognition of billing/coding issues, problem resolution and referral to the next level when appropriate, as required within PFS.

• Demonstrated effective organizational, communication and interpersonal skills.

• Ability to understand alternative business office financial resources and ability to provide information and/or recommendations related to these sources of recovery.

• Ability to work both promptly, efficiently, independently and as part of a team is required.

• Ability to promote a positive and productive work environment.

• Ability to understand Inpatient and Outpatient payment methodologies.

• Knowledge of the UB-04 Claim Form (general understanding of different codes present on a claim form).

• Familiar with insurance reimbursement contractual language.

PHYSICAL DEMANDS: High volume data entry requires prolonged sitting, manual dexterity and visual acuity. Requires concentration and constant technical attention to accuracy and detail for extended periods of time.