Patient Account Representative (Hybrid, Towson, Full Time)
Sheppard Pratt, Towson, MD, United States
General Summary
Under general supervision and in accordance with established policies and procedures, responsible for daily charge entry, processing, billing, and payment posting for Sheppard Pratt for all lines of business. Uses patient information management system and computerized billing system to initiate and update patient accounts, generate data required for preparation of third‑party claims and client statements, and adjust third party/self‑pay data. Uses the McKesson Horizon Patient Folder (HPF) system to promote a paperless environment to post electronic payments, post payments and charges to the IDX system, and review and access explanation of benefits (EOB) data for electronic billing. Uses the McKesson HPF system to obtain copies of EOBs, referrals, and other documentation necessary for both primary and secondary billing. Uses the Allscripts system to submit physician charges electronically through to the IDX system. Prepares and maintains required documentation in accordance with department policy and procedures. The vast majority of this position involves interaction with insurance companies, with only a very small percentage involving interaction with clinicians and patients. Knowledge, Skills, and Abilities Required
Read, write, and speak English effectively; perform arithmetic computations; adjust debits and credits; type at an acceptable speed and accuracy. Must have 6‑12 months experience in related billing and health insurer work or an equivalent period of intensive training. Knowledge of billing practices, collections, third‑party reimbursement procedures, calculating allowances, deductibles, co‑pays, coinsurances, and familiarity with computerized billing systems. Follow‑up and Medicaid experience strongly preferred. Proficiency in using common office equipment (PC, calculator, etc.); proficiency in Allscripts direct charge entry system and McKesson Horizon Patient Folder system acquired through on‑the‑job training. Benefits
Commitment to professional development, including comprehensive tuition reimbursement program to support ongoing education, licensure and/or certification preparation. Comprehensive medical, dental, and vision benefits for benefit‑eligible positions. 403(b) retirement match. Generous paid time off for benefit‑eligible positions. Complimentary Employee Assistance Program (EAP). Generous mileage reimbursement program. Pay range: $18.50/hr minimum to $26.04/hr maximum. Pay is determined on a number of factors, including but not limited to, years and level of related experience.
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Under general supervision and in accordance with established policies and procedures, responsible for daily charge entry, processing, billing, and payment posting for Sheppard Pratt for all lines of business. Uses patient information management system and computerized billing system to initiate and update patient accounts, generate data required for preparation of third‑party claims and client statements, and adjust third party/self‑pay data. Uses the McKesson Horizon Patient Folder (HPF) system to promote a paperless environment to post electronic payments, post payments and charges to the IDX system, and review and access explanation of benefits (EOB) data for electronic billing. Uses the McKesson HPF system to obtain copies of EOBs, referrals, and other documentation necessary for both primary and secondary billing. Uses the Allscripts system to submit physician charges electronically through to the IDX system. Prepares and maintains required documentation in accordance with department policy and procedures. The vast majority of this position involves interaction with insurance companies, with only a very small percentage involving interaction with clinicians and patients. Knowledge, Skills, and Abilities Required
Read, write, and speak English effectively; perform arithmetic computations; adjust debits and credits; type at an acceptable speed and accuracy. Must have 6‑12 months experience in related billing and health insurer work or an equivalent period of intensive training. Knowledge of billing practices, collections, third‑party reimbursement procedures, calculating allowances, deductibles, co‑pays, coinsurances, and familiarity with computerized billing systems. Follow‑up and Medicaid experience strongly preferred. Proficiency in using common office equipment (PC, calculator, etc.); proficiency in Allscripts direct charge entry system and McKesson Horizon Patient Folder system acquired through on‑the‑job training. Benefits
Commitment to professional development, including comprehensive tuition reimbursement program to support ongoing education, licensure and/or certification preparation. Comprehensive medical, dental, and vision benefits for benefit‑eligible positions. 403(b) retirement match. Generous paid time off for benefit‑eligible positions. Complimentary Employee Assistance Program (EAP). Generous mileage reimbursement program. Pay range: $18.50/hr minimum to $26.04/hr maximum. Pay is determined on a number of factors, including but not limited to, years and level of related experience.
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