PATIENT ACCOUNT REPRESENTATIVE - (PRN DAYS) MAIN CAMPUS
Williamson Health
- Nashville, TN
- Permanent
- Full-time
o Medical, Dental, Vision
o PTO
o Retirement Matching
o Tuition reimbursement
o Discount programs
o FSA (Flexible Spending Accounts)
o Identity Theft Protection
o Legal AidWilliamson Health is an equal-opportunity employer and a drug-free workplace.POSITION SUMMARYThis position primarily involves billing and follow up on accounts for services rendered at Williamson Health. This is to maximize the full payment potential of each claim from all insurance carriers in a timely and accurate manner. This Patient Account Rep serves as a liaison between patient and insurance carriers. The PAR works with all departments in the hospital as well as physician's offices to ensure the proper charges, adjustments and codes are processed and that all edit corrections are made prior to the claim being billed to the insurance carriers. This position is responsible for daily Billing reports such as the Late Charge report, 3 day Prior report, Same Day Service report, correct bills, etc. This PAR also serves as the fill in for the EMS Coordinator when needed.POSITION REQUIREMENTSFormal Education / Training:
Must be a high school graduate or equivalent, have hospital or physician billing experience, have PC and calculator experience, and have good communication skills to discuss account financials with insurance carriers and patientsWorkplace Experience:
Prior experience in a hospital setting or related area is required.Equipment and Skills Training:
Meditech System, SSI Electronic Billing System, SSI Electronic System for RA Print, Valco System, Passport System, Blue Cross DDE System, Excel, Word, PC, Printers, Fax, CopierPhysical Environment:
Business OfficePhysical Effort:
Requires sitting for prolonged periods of time, viewing the computer screen and using repetitive motions, and must have a clear, understandable telephone voicePERFORMANCE STANDARDS
- Utilizes SSI Electronic software (when necessary) to accurately process all payer accounts assigned by system daily
- Processes all payer paper claims when necessary.
- Compares SSI electronic claim against Meditech claim when dealing with all carrier questions regarding claim submitted and works on resolving discrepancies to prevent denial.
- Utilizes Passport as well as various payer websites to access on-line information
- Analyzes EOBs and remittances for secondary insurance filing and to determine appropriate patient liability or secondary payer amount
- Utilizes Outlook to communicate denials with the various departments and ensures timely response/resolution to denials.
- Completes review of assigned accounts utilizing ATB (current account balance) reports and/or Collector Desktop list as needed for account processing in a time frame that is consistent with peers.
- Converses with all insurance payers and documents all discussions in Meditech regarding unpaid claims
- Answers patient calls regarding billing and account balances
- Re-queues claim forms and itemized bills for all payers as needed after audit corrections have been completed
- Handles and prioritizes multiple tasks.
- Completes any other job duties assigned by the department Director or Supervisor(s)