What are the responsibilities and job description for the Patient Account Rep II position at SCL Health?
You.
You bring your body, mind, heart and spirit to your work as a Patient Account Rep II – Physician Billing.
You’re equally comfortable with customer service and technology.
You’re great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.
Us.
System Services is our Corporate Headquarters in Broomfield, Colorado and is located within the Oracle campus. SCL Health is a faith-based, nonprofit healthcare organization dedicated to improving the well-being of the people we serve.
Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, we’ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.
We.
Together we’ll align mission and careers, values and workplace. We’ll encourage joy and take pride in our integrity.
We’ll laugh at each other’s jokes (even the bad ones). We’ll hello and high five. We’ll celebrate milestones and acknowledge the value of spirituality in healing.
We’re proud of what we know, which includes how much there is to learn.
Your day.
As a Patient Account Rep II – Physician Billing, you need to know how to:
- Research and follow up on outstanding claims. Document and appropriately file in the computer system all correspondence and action taken on an account. Follow up in accordance to procedures and policies with an overall goal of account resolution.
- Coordinate the correction of cash posting errors to patient accounts.
- Monitor assigned outstanding claims and proactively identify, research, and propose solutions to trends. Provide feedback to management regarding problem payers and specific reimbursement problems.
- Ensure proactive cash flow by maximizing rimbursement within dollar amount thresholds.
- Review the appeals process and complete adjustments within dollar amount thresholds.
- Work with patient accounts associated to one or more specialized areas or insurance payers, including by not limited to: acute, ambulatory, medical specialty, provider based, commercial, government, or other third-party payers as requested.
- Keep current in payer and contract terms, updates, billing policies, and navigation of respective payer websites. Interpret payer contract summaries with advanced understanding to evaluate under and over payments.
- Meet productivity and quality goals.
- Serve as a subject matter expert, resource, and mentor to others within the department. Train new associates and provide feedback on work performance as requested.
Your experience.
We hire people, not resumes. But we also expect excellence, which is why we require:
- High School Diploma or equivalent
- Minimum of one (1) year of experience in medical billing/patient accounts
- Strong computer skills
- Advanced proficiency level with Microsoft Office products, including Word and Excel
- Advanced knowledge of medical billing, insurance, compliance regulations, and coding
- Demonstrated knowledge of medical terminology
- Advanced knowledge of EPIC
Preferred:
- At least three (3) years of experience in medical billing/patient accounts
- Previous hospital/physician billing or claims follow-up experience
- Demonstrated knowledge of MS Project
Your next move.
Now that you know more about being a Patient Account Rep II – Physician Billing on our team we hope you’ll join us. At SCL Health you’ll reaffirm every day how much you love this work, and why you were called to it in the first place.
This position is 100% remote
Salary : $1 - $1,000,000