Patient Representative acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Being a Patient Representative explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. Working with multi-disciplinary teams may make recommendations for improvements to the patient experience. Additionally, Patient Representative may participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. The Patient Representative works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Patient Representative typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Primary Scheduled Hours: 80 hours per pay period - Day shift
Job Summary:
Responsible for medical billing functions and submission of claims to third-party payers for payment. Reviews claims to verify accuracy and completeness of charges. Researches denied or incomplete bills. Submits secondary claims, makes claim adjustments, and corrects claims as needed. Ability to submit letters of appeal with proper documentation to insurance carriers. Works closely with district departments; providing updates regarding codes, benefits limits or changes for patients’ health insurance, including state and federal programs. Interacts with patients; understanding medical benefits, processing patient payments, and resolves minor billing complaints.
Who are we?
Education Background and Experience
Minimum Education: |
High school graduate or equivalent. |
Required Licensure / Certifications: |
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Required Experience: |
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Preferred Qualifications: |
One (1) or more years' experience in medical billing EPIC experience |
Professional Requirements
Essential Job Functions
Compensation/How We Care For You:
Successful candidates typically begin between the beginning and midpoint of the compensation range ($17.44- $20.54./hour)dependent on qualifications/experience and receive compensation increment increases annually.
Qualified employees of Newport Hospital & Health Services are offered the following benefits:
Newport Hospital & Health Services (NHHS)is committed to a diverse and inclusive workplace. NHHS is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.
NHHS employs only U.S. citizens and lawfully authorized non-U.S. citizens. All new employees must show employment eligibility verification as required by the U.S. Citizenship and Immigration Services.
NHHS is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact Human Resources at 509-447-6320.