Patient Accounting Representative - Marshall Orthopaedics

Job description

Job Responsibilities: • Reviews and processes refund requests. • Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges/claims. • Performs the data entry role for all necessary billing and claims related functions including, but not limited to charge entry and payment posting. • Answers phone calls and/or inquiries from patients, insurance carriers or other parties to assist in the submission, payment or clarification of claims or billing related issues. • Carries out routine requests for information from any number of sources such as the practice management system, archived or scanned billing documents, or supporting documentation for prior charges. • Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution. • Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient. • Works with Corporate and Department management to develop, maintain, and follow policies and procedures relating to and in support of the Department’s and Corporation’s Compliance Program for Professional Fee Reimbursement. • Performs other duties as assigned or requested. Education: High school diploma or GED. Experience: Minimum of one year billing experience in a health care organization, with a preference toward candidates with experience and knowledge of the claim denial/accounts receivable process. Working knowledge of Cerner Practice Management software is a plus. Internal applicants must call HR at ext. 11653 to determine eligibility before applying.