650 941-5115 Mon - Fri 8:00 am to 5:00 pm.

PATIENT ACCOUNT REPRESENTATIVE

  • Location:
  • Salary:
    negotiable
  • Job type:
    Contract
  • Posted:
    2 weeks ago
  • Category:
    Healthcare
  • Deadline:
    December 4, 2020
  • Job Level:

PATIENT ACCOUNT REPRESENTATIVE

NEWARK, CA

CONTRACT

Option 1 Staffing is currently recruiting for Patient Account Representatives to work for one of our top clients. This is a contract 6 months position.

Also,currently recruiting for Medical Billers, Cash Posting Representatives, Data Control Representatives

Job Description:

The Patient Account Representative II (PAR II) is responsible for the timely and accurate processing of patient accounts receivable billing and collections. The specific job duties will be comprised of a combination of responsibilities from among the various areas of PFS operations including Charge entry and charge batch balancing, Electronic and hardcopy claims editing and submission to various payers (Government, Managed Care, and Commercial), Accounts receivablecollections and payer follow-up, Payer denial review and appeals processing, Customer service, Payment applications, Credit balance review and resolution and Patient advocacy and risk management. Under general supervision, PAR II performs the full range of duties for this assigned class.

Requires a good working knowledge of systems and processes and be expected to resolve standard queries and problems.

Works on assignments that are moderately complex in nature where judgment is required in resolving problems and making routine recommendations.

Job Duties
Account Reps: Follows up on unpaid accounts in patient accounting systems with the payers either by phone or via websites.

Works payer denials based on claim process adjudication; Review accounts for possible underpayments; research contracts, guidelines and resolve payment with payer.

Perform appeals with payer. Performs bad debt request transfers as applicable.

Performs or requests adjustment and contractual write offs as applicable

Billers: Reviews EPIC worklists and edits accounts as needed; Reviews Cirius claim edits and resolves edits; Reviews and resolves electronic acknowledgement payer rejections/denials; Rebills claims based on requests from Follow Up reps due to denials received. Resends claim as needed.

Cash Posting Reps: Posts payments; Work EPIC undistributed payment worklist; Posts adjustments related to payments. Processes refunds for accounts payable. Posts payment transfers from professional billing to hospital billing. Responsible for processing electronic and manual remittance transactions. Posting complex payment and contractual adjustments to patient accounts. Responsible for reconciling cash transactions, third party remittances, and credit/debit card payments. Representative downloads posts and reconciles electronic remittance files and works with the billing and collections representatives to resolve posting problems.

Data Control Reps: Enters charges; Reviews EPIC worklist accounts with charge issues and resolves; Researches charge issues and follows up with departments as needed. Complete charge corrections including adding diagnosis, transferring or reversing charges, combining accounts. Maintains professional communication with various PFS staff, medical center staff, payors, physicians, and patients regarding the billing of services rendered.

Communication may consist of telephone, correspondence, or in person contact. Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager/Coordinator.

For immediate consideration, please apply!

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