Patient Accounting Representative F/T

Job description

Salary Range: $33.78 - $41.46 + applicable differentials Essential Job Responsibilities Achieving Results; - Under the guidance of the Revenue Cycle Director, the Government and Commercial Billing Managers are tasked with billing various account types, encompassing HMOs, PPOs, Worker’s’ Compensation, Government Payers and Self-pay accounts. - Ensure all necessary documentation is present for billing patient accounts. - Coordinates with various insurance carriers to meet standard requirements, ensuring appropriate payment of claims and adherence to guidelines before billing. - Processes claims using the designated electronic billing system corresponding to the insurance plan, with any remaining claims billed in hardcopy to the relevant insurance carrier. - Collaborates with relevant personnel and hospital departments to ensure accurate diagnosis and procedure coding on claims. - Reviews past due accounts and associated documents to identify and access delinquency issues. - Conducts reviews of claims denials, identifies root causes, and takes necessary actions, including follow-ups and appeals in a timely manner. Demonstrates Skills;: - Investigates reasons for claim denials to uncov...