Patient Account Representative - Physician Practice Billing

Who You Are:

You are an essential part of Catholic Medical Center (CMC) as a Patient Accounts Representative in our Physician Practice Billing Department. Your dedication lies in ensuring accurate billing of hospital accounts, timely claim submissions, and securing reimbursements from diverse third-party payers. In this role, meticulous documentation, efficient charging and refund activities within the hospital's electronic billing system, and persistent follow-up on open accounts are your prime responsibilities.

This is a full-time position (40 hours/week) from Monday to Friday, with an attractive $2,500 Bonus! Please note, this position offers a hybrid work model allowing for 2 days of remote work after training.

What You'll Do:

• Handle daily electronic billing work queues and manage paper claims submissions by addressing payer edits and ensuring seamless claims transmission to clearing houses or third-party payers.

• Maintain comprehensive documentation of billing activities, ensuring strict compliance with relevant billing regulations for assigned payers. Any concerns regarding compliance or billing irregularities will be promptly escalated to department leaders.

• Identify and rectify claim denials received via Explanation of Benefits (EOB), denial reports, or correspondence from insurance carriers. Take necessary actions, including initiating adjustments or appeals, to resolve denials effectively.

• Conduct thorough follow-ups on unresolved open accounts, documenting reasons for reimbursement delays and actions taken within the electronic billing system.

• Keep a close eye on workload for aging inventories and ensure timely filing.

Additionally, display exceptional customer service skills by promptly addressing inquiries and billing concerns from patients, internal associates, and third parties in a professional and efficient manner.

What You'll Bring:

• High school diploma; an Associate degree is preferred.

• Ideally, 1-2 years of prior medical billing experience in a healthcare setting.

• Strong familiarity with basic patient accounting processes and healthcare terminology is highly advantageous.

Who We Are:

Catholic Medical Center (“CMC”) is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country.

We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment.

CMC is proud to be named to the Forbes list of America’s Best-in-State Employers for two consecutive years. This prestigious award is presented by Forbes and Statista, Inc., and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States.

With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day.

Catholic Medical Center is an equal opportunity employer and we embrace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.