Patient Account Associate I Credit Balance and Acct Review
Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, extraordinary interpersonal skills, and the ability to resolve complex issues in a timely and accurate manner..
Essential Functions
• Identifies appropriate payment details and saves back-up as appropriate.
• Researches, validates and makes adjustments to payment postings. Follows up in accordance with procedures and policies with an overall goal of account resolution.
• Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of account resolution.
• Abel to navigate various payer claim portals and understand payer functionality.
• Interacting with others by effectively communicating both orally and in writing.
• Operate computers and other office equipment, as well as various computer software’s.
• See and read computer monitors and documents in English.
Skills
• Recognizing true overpayments from false credits
• Researching claim cycle
• Understanding Coordination of Benefits
• Understanding EOB
• Understanding Medical Terminology
• Payment Handling
• Effective written and verbal communication
• Computer Literacy
• Time Management
• HIPAA Regulations
Physical Requirements:
Qualifications
• High School Diploma or equivalent (GED) required
• One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up, Collections) required
• Knowledge of Medicaid and Medicare billing regulations required
Physical Requirements
• Operate computers and other office equipment requiring the ability to move fingers and hands.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
• May require lifting and transporting objects and office supplies, bending, kneeling and reaching.
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