Patient Account Representative I

divh2Billing/Follow-up Rep Facility (Remote)/h2pUnder general direction, the Billing/Follow-up Rep Facility (Remote) is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in customer service, collections, cash posting, billing, etc. as assigned by CBO Management. Billing/Follow-up Rep Facility is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities./ppEssential Functions and Responsibilities:/pulliResponsible promptly, professionally, and courteously to all customers needs./liliCooperates and communicates effectively with all McLaren Health Care team members./liliContributes to continuous quality improvement efforts./liliCompletes tasks accurately and timely./liliOrganizes time and prioritizes effectively./liliPractices cost effective measures./liliMaintains confidentiality in all matters regarding patients, the hospital, the department and human resources./li/ulpBilling: Responsible for billing hospital and physician claims, for inpatients and outpatients treated in the hospital and clinic, on behalf of the patient, within insurance time filing limits./pulliInterprets third party requirements and appropriately bills for facility and physician services within time filing requirements./liliPerforms necessary maintenance to patient accounts in the billing and claims editing systems./liliResponds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts./liliContacts insurance companies regarding unreleased and unprocessed bills./liliAs assigned, Insurance Specialist will be responsible for developing relationships and working with respective vendors in a timely and professional manner./liliWorks with other departments and insurance companies to resolve bill/claim edits./liliNotify Analyst of edits that needs to be built and Denials Rep for denial trends./liliCoordinates and monitors billing activities relating to bone marrow transplant package pricing./li/ulpFollow Up: Responsible for follow-up with third party payors for inpatients and outpatients treated in the hospital and clinic necessary to obtain payment and/or a resolution of patient accounts within insurance time filing limits./pulliPerforms necessary maintenance to patient accounts in the hospital and claims editing systems./liliResponds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts./liliContacts insurance companies regarding outstanding insurance bills./liliFollows-up on Age Trial Balance Report monthly./liliAs assigned, Billing Specialist will be responsible for developing relationships and working with respective vendors in a timely and professional manner./liliNotify Analyst of edits that needs to be built and Denials Rep for denial trends./liliResolves issues involving third party payor and self-pay claims./li/ulpQualifications:/ppstrongMinimum:/strong/pulliHigh School Diploma or GED/li/ulpstrongPreferred:/strong/pulliAssociate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience./liliWorking knowledge of CPT, HCPCS, and ICD-1/liliOne year experience in hospital financial or patient services/li/ulpEqual Opportunity Employer of Minorities/Females/Disabled/Veterans/p/div