Patient Financial Svcs Rep II at Easley

Job Description

Job Summary

All employees are expected to be knowledgeable and compliant with Baptist Easleys values of compassion, dignity, excellence, integrity and teamwork.

Salary: $11.62-$14.96 DOE

This position requires a CPC (Certified Professional Coder) certification with previous exp.

In addition, this job also has responsibility for timely filing, follow up, collections, credit balances, posting, and/or customer service of patient accounts for respective section of areas of control.

Job Requirements

Education: 2 years college or equivalent experience
Experience: at least 2 years of patient accounts experience
Number and Type of Employees Supervised: None
Licensure, Registry or Certification Required: None
Special Training: 85 net key strokes per minute on data entry skills test; 10 key calculator; computer experience, CRT, PC, other types of equipment; knowledge of ICD9, CPT and HCPCS coding; must be able to think analytically and communicate well with others
Age of Patients Rendered Care: none

Key Responsibilities

Prepare appropriate primary or secondary billing for third party claims. File third party claims and patient statements. Edit and correct failed claims. Monitor claims for appropriate billing. Communicate problems with billing to supervisor/team leader. Monitor and bill correctly for 72 hour rule for Medicare.
Post all patient, third party payment, correspondence and adjustments to accounts. Transfer charges to secondary insurance for billing. Comment on patient account all deductibles, co-pays and denials information. Work unidentified payments and complete appropriate paperwork for transfer of payments to other areas of the Alliance. Balance all payments, complete accounting reports and general ledger entries.
Receive and answer patient telephone and written inquiries regarding charges and/or billing discrepancies for all third party payers. Greet and assist patients. Explain account payment and settlement process to patient and third party payers. Set up payment arrangements. Document all patient telephone calls and billing information.
Prepare accounts for bad debt write off. Work and prepare reports for bad debt write off and end of day balancing. Research accounts daily for credit balances and process refunds. Respond to inquire from patients and collection agencies. Document all billing notes and patient telephone calls.
Contact insurance carriers and/or patients for immediate payment. Provide duplicate billings, coordination of benefits and medical records to expedite payment of insurance claims. Post charges, correct charges and diagnosis. Research accounts daily for credit balances and process refunds. Respond to correspondence. Document all billing notes and patient telephone calls. Work and prepare reports necessary to maintain acceptable levels of accounts receivables.
Train new employees.

*CB*

Country: USA, State: South Carolina, City: Easley, Company: Baptist Easley Hospital.