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ACCOUNT REPRESENTATIVE

ACCOUNT REPRESENTATIVE

Decatur Memorial HospitalSpringfield, IL, US
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Billing Specialist

Complete billing process of all individual patient accounts for all clients contracting services with Professional Billing Services. Payments, actual insurance claim submission, account follow-up for payment, collection of self-pay receivables, and referrals to bad debt.

Position Type : Full-Time

Hours : 08 : 00AM - 04 : 30PM

Weekends : N / A

Qualifications

Education :

  • High school graduate or its equivalency is required.

Experience :

  • Minimum of one (1) year experience in billing and collections routines, insurance claims processing, and data entry preferred.
  • One (1) year experience working with physicians and / or patients on an ongoing basis or its equivalency is preferred.
  • Minimum of one (1) years of experience or its equivalency with personal computers.
  • Minimum of one (1) year of telephone collection experience as a medical debt collector is preferred.

    • Other Knowledge / Skills / Abilities :

  • Strong communication skills are required
  • Understanding of CPT, ICD-9 or ICD-10 coding, and medical terminology preferred.
  • Understanding of insurance forms UB04, HCFA 1500 and Medicaid forms.
  • Understand and interpret Explanation of Benefits (EOB's).
  • Required to use 10-key numeric pad.
  • Capable of typing 30-40 wpm preferred.
  • Limited physical requirements, primarily sedentary. Will occasionally have to lift small boxes weighing up to 50 lbs.

    • Responsibilities

  • Insures the accuracy and validity of the demographic and insurance information.
  • Post insurance and / or personal payments as well as adjustments as directed and indicated on EOB's, balancing input amounts against the control totals for the individual accounts upon completion of entry.
  • Processes and complete daily deposits prior to 2 : 00 pm daily.
  • Review and process all health insurance claims received daily.
  • Provide insurance forms to patients when requested.
  • Researches unpaid Insurance claims and follow-up for reasons of non-payment.
  • Establish payment arrangements in line with the guidelines established.
  • Respond to patient inquires made by telephone or in writing.
  • Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.
  • Research and correct edits or errors in claim scrubber system.
  • Respond to Client inquiries concerning accounts via telephone or e-mail.
  • Demonstrate a professional behavior and provide Excellent Customer Service at all times.
  • Performs other duties as assigned.
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