What are the responsibilities and job description for the Patient Account Rep position at GENESIS Health System?
Position Title: Patient Account Rep
Department: DME
Purpose: Responsible for verification of data and production of billing claims for third party payors and patients. Will review applicable billings and remittances for compliance with managed care and self pay contracts as well as researching and correcting denied patient claims. Must have ability to understand payor requirements to maintain regulatory compliance and understand payor medical policies and apply appropriate usage of ICD-9, HCPCS and CPT coding principles. Will manage all incoming phone calls from patients, third party insurance representatives and other related to the billing cycle. Responsible for the follow up and collection of patient accounts including but not limited to telephone calls, meetings and on line inquires with insurance companies.
Report To: Manager, Billing
Supervisory Responsibility: No Supervision: The job does not require the provision of guidance or supervision to others. There is no formal responsibility for directing others.
Materials Responsibility: Very Limited. Work requires very limited responsibility for material resources. Examples of resources could include personal work materials, supplies or equipment, or very small amounts of cash. The employee has a very limited or indirect amount of control over these resources. Although human error might require the repair or replacement of materials, usually the cost of correcting these errors is minor. The variety and volume of resources is also very limited. Problems associated with material resources are very uncomplicated.
Key Relationship: Co-workers/Health System Employees, Outside Agencies/Other Health Care Providers, Patients, Families, and Significant Others, Third Party Payors/Insurance Companies
POSITION SPECIFICATION
Education: High school graduation or equivalent
Field Of Study:
Special Training: Billing/Accounts receivable experience and/or collections experience. Customer service background and word processing with a minimum of 40 wpm.
Training Preferred: Billing/Reimbursement courses
Licensure/Registration:
Experience: More than 1 year experience required.
Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters.
Working Conditions: There are little or no adverse environmental conditions to consider.
Possible Exposure to Blood Borne Pathogens: None
Miscellaneous:
Location: GENESIS Health System · DME
Schedule: Full-Time, Day, 8:30am - 4:00pm
Department: DME
Purpose: Responsible for verification of data and production of billing claims for third party payors and patients. Will review applicable billings and remittances for compliance with managed care and self pay contracts as well as researching and correcting denied patient claims. Must have ability to understand payor requirements to maintain regulatory compliance and understand payor medical policies and apply appropriate usage of ICD-9, HCPCS and CPT coding principles. Will manage all incoming phone calls from patients, third party insurance representatives and other related to the billing cycle. Responsible for the follow up and collection of patient accounts including but not limited to telephone calls, meetings and on line inquires with insurance companies.
Report To: Manager, Billing
Supervisory Responsibility: No Supervision: The job does not require the provision of guidance or supervision to others. There is no formal responsibility for directing others.
Materials Responsibility: Very Limited. Work requires very limited responsibility for material resources. Examples of resources could include personal work materials, supplies or equipment, or very small amounts of cash. The employee has a very limited or indirect amount of control over these resources. Although human error might require the repair or replacement of materials, usually the cost of correcting these errors is minor. The variety and volume of resources is also very limited. Problems associated with material resources are very uncomplicated.
Key Relationship: Co-workers/Health System Employees, Outside Agencies/Other Health Care Providers, Patients, Families, and Significant Others, Third Party Payors/Insurance Companies
POSITION SPECIFICATION
Education: High school graduation or equivalent
Field Of Study:
Special Training: Billing/Accounts receivable experience and/or collections experience. Customer service background and word processing with a minimum of 40 wpm.
Training Preferred: Billing/Reimbursement courses
Licensure/Registration:
Experience: More than 1 year experience required.
Interpersonal Skills: Interaction is with a variety of people inside or outside the organization. Communications are of moderate difficulty and sensitivity. Contact with others may involve detailed & lengthy dialogues & exchanges of information. Requires a moderate amount of interpersonal skills. Interactions involve dealing with moderately complicated problem situations or stressful encounters.
Working Conditions: There are little or no adverse environmental conditions to consider.
Possible Exposure to Blood Borne Pathogens: None
Miscellaneous:
Location: GENESIS Health System · DME
Schedule: Full-Time, Day, 8:30am - 4:00pm
Salary : $26,900 - $34,000
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