Patient Financial Services Representative II - York - Days

Job description

Full time (40 hours weekly) Monday-Friday dayshift: General Summary: Completes assigned revenue cycle tasks. Acts as SME for coworkers, assisting in the completion of Patient Financial Services tasks as needed. Performs Revenue Cycle functions including, submitting electronic and / or manual insurance claims, resolves claim edits, performs insurance account follow-up, researches claim denial for resolution and submits disputes and appeals. Represents the System in a professional manner while interacting with patients and third-party payers to achieve payment on accounts in accordance with current government and payer regulations. Duties and Responsibilities: Essential Functions: - Performs various functions to complete and expedite the billing process including: • Reviews and submits Hospital and/or Physician claim forms (UB04, 1500, etc) to insurance companies via electronic or manual processes and facilitates special billing for split claims, ancillary charges, interim bills, etc.• Resolves Claim edits to facilitate timely billing and reimbursement.• Performs follow-up with insurance companies to obtain claim status, payment and to resolve claim discrepancies.• Submits itemized b...