Patient Account Specialist - RCO PB Follow-Up

Job description

Patient Account Specialist - RCO PB Follow-Up - ( 2601426 ) Description EDUCATION & EXPERIENCE: Minimum Qualifications: - Two years of financial experience or one year of patient accounts experience. Preferred Qualifications: - Experience with EPIC Prelude - Experience with professional billing denials, particularly involving commercial payors. JOB SUMMARY: The Patient Account Specialist will be responsible for billing all third-party payers through a claims processing vendor and/or for appeal of denied professional and/or hospital claims. Identifies billing issues affecting hospital and/or physicians claims/accounts and takes necessary action to ensure timely and appropriate claim filing. Performs follow-up activities and identifies reimbursement issues affecting these claims. Takes necessary actions to ensure timely and appropriate reimbursement and account resolution. ESSENTIAL JOB FUNCTIONS: - Demonstrates a level of competence and understanding of all state and federal laws, rules, and regulations regarding payer billing guidelines - Demonstrates a basic understanding of CPT, ICD-9, HCPCS, modifier coding as well as POS requirements - Billing payers and/or clients for hospital...