20 Best Patient Accounts Representative jobs (Hiring Now!)

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Quick Apply
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Patient Financial Services Representative - Medical Billing

Saratoga Hospital - Saratoga Springs, NY

Quick Apply

Job Details

Full-time $17.25 - $27.45 an hour

Qualifications

Customer service
Meditech
High school diploma or GED
Bachelor's degree
Contracts
Computer skills
Associate's degree
2 years
Communication skills

Full Job Description

Job Summary: The Patient Financial Services Representative (PFS) is responsible for billing primary, as well as subsequent secondary and tertiary claims, to all third party insurance carriers listed on a patient account, utilizing multiple systems to ensure a clean claim is received and processed for payment. The position is also responsible for follow up on third party receivables. Position provides telephone customer service to assist patients with their insurance questions and accept payment for services billed.

Primary Job Duties:

Claims Processing and Issues Resolution: Retrieve and transmit electronic (837) claim files to all assigned payers as assigned. Submission of a paper claim form to all assigned insurance carriers. Submit with all appropriate documents/attachments as assigned. Resolve all claim issues to ensure a clean claim has been received and accepted by assigned payer.
Information Systems and Reporting: Effectively utilizes various assigned systems to submit and/or resolve claim issues. i.e., Omnipro, Emdeon, Navinet, Relay Health-E-Premise, Post N Track, ASK (Blue Shield), Ability/Vision share, E-PACES. Complete assigned reports from Meditech to follow up on aging receivables as assigned. DNFB-Discharged not final billed daily report as assigned.
Claim Denials: Handle and resolve all denied claims identified through the CRANEWARE denials software system. Identify root cause analysis of denied claims as assigned.
Third Party Payer Relationship: Problem Solve issues with third party payer as assigned. Understand the rules and regulations of third party billing for the payers assigned. Knowledge of non-governmental contract components for payers assigned. Access Third Party Carriers direct portals through the internet for issues related to obtaining eligibility verification or verification of payment of services.
Account Follow Up: Provides follow-up by telephone/written communication on all accounts as applicable. Research and resolve all credit balances in accordance with PFS policy as assigned.
Customer Service: Answer and respond to telephone inquiries by patients and or insurance carriers to resolve insurance and/or customer’s problems efficiently. Arrange requested payment plans with customers that call into the PFS department.

Minimum Qualifications: High school diploma or GED with at least 2 years of customer service experience. Associate's or Bachelor's degree in lieu of customer service experience. Must have proficient computer skills.

Salary Range: $17.25 - $27.45
Pay Grade: 17
Compensation may vary based upon, but not limited to: overall experience and qualifications, shift, and location.

Location: Saratoga Hospital · Patient Accounts
Schedule: Full-Time, Day shift, 7:30am-4pm or 8am-4:30pm

Quick Apply

Patient Accounts Representative jobs

Patient Financial Services Representative - Medical Billing

Patient Access Representative I, Emergency Department, 2nd shift

Bilingual Float Patient Service Representative

Behavioral Therapist- MSW

Licensed Clinical Social Worker (LCSW)/MSW

Associate Accounts Receivable Representative

Dental Clinic Supervisor

Clinical Dental Director

Medical Records Representative

Patient Billing Representative - Remote

Accounts Receivable Rep- 3rd Party Commercial

Customer Support Representative

PATIENT ACCOUNT REPRESENTATIVE - HOSPITAL PATIENT ACCOUNTS - SYSTEM OPS, DAYS (REMOTE)

Customer Service Representative - Express Scripts - Remote

Behavior Intervention Specialist

Patient Accounting Representative

Clinical Respiratory Sales Representative

Patient Billing Representative

Paramedic

Accounting Manager

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