Patient Account Representative - FMG - Tacoma Orthopaedic Surgeons
Location: Tacoma Washington
Description: Catholic Health Initiatives is presently looking of Patient Account Representative - FMG - Tacoma Orthopaedic Surgeons right now, this job will be placed in Washington. For detail informations about this job opportunity please read the description below. Job Summary:
Submit claims to government agencies, medical service bureaus and insurance! companies. Answer all information requests from those payers, and trace all claims to those payers making sure they have been paid or denied appropriately and in a timely manner. Post payments, follow up on insurance rejections, submit claims to secondary insurers, calculate the precise patient responsibility portion to be billed, and respond to patient queries.
Essential Duties:
Ensure patient satisfaction through timely and effective patient account maintenance including assistance with billing, third-party payments, adjustments, information verification and record maintenance.
Submit claims to government agencies, medical service bureaus, and insurance companies ensuring that accounts are billed appropriately by auditing charges to ensure accurate procedure codes, billing data and patient information submitted.
Effectively process patient, clinic and insurance correspondence, including requests for refunds and collections when warra! nted.
Interpret and communicate information regarding! credit policies and procedures, billing practices, insurance submission and out-of-pocket patient responsibility.
Accurately and timely post private payments, insurance payments, disallows and/or denials to appropriate patient account, calculate patient responsibility, interpret explanation of benefit message codes, identify payment discrepancies by contacting insurance carrier, and determine if rebilling is necessary.
Function as liaison between patients and clinic staff on claims, billing questions or insurance related issues.
Trace errors, record adjustments to proper accounts and determine the appropriate destination for unidentified funds.
Accurate batch balancing and reporting.
Submit claims to secondary insurers as required. Ensure deposits balance to posting and resolve any discrepancies.
Respond to inquiries from agencies, bureaus, and insurance companies to assist in the claim payment process.
Act as ! a resource to physicians, providers administrators and patients regarding health insurance claim policies, procedures and requirements.
Qualifications
Education:
High School Diploma or GED equivalent required.
A basic course in medical terminology, medical billing, and/or accounting preferred.
Experience:
Within the last two- (2) years, eighteen- (18) to twenty four (24) months full range book keeping experience in a healthcare environment required.
Knowledge of insurance companies, CPT and diagnosis codes as well as experience following billed and denied claims.
Some collection experience preferred.
License/Certification:
None required.
Additional Responsibilities:
Demonstrates a commitment to service, hospital values and professionalism through appropriate conduct and demeanor at all times.
Adheres to and exhibits Catholic Health Initiatives core va! lues:
Reverence:
Having a profound spirit of awe an! d respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
Integrity:
Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
Compassion:
Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
Excellence:
Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
Maintains confidentiality and protects sensitive data at all times.
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members.
Demonstrates exceptional customer service and interacts effectively with physicians, patients, visitors, staff and the broader health care community.
Catholic Health Initiatives and its organizations are Equal Opportunity Employers
Job
Finance
Primary Location
WA-Tacoma-Fmg-Tacoma Ortho Surg
Shift
1
Scheduled Hours per 2-week Pay Period
80
Weekends Required
None
Status
Full Time
- .
If you were eligible to this job, please email us your resume, with salary requirements and a resume to Catholic Health Initiatives.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Fri, 15 Mar 2013 00:49:05 GMT
Apply Patient Account Representative - FMG - Tacoma Orthopaedic Surgeons Here