Job Description
Works daily electronic billing file and submits insurance claims to third party payers.
Reviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special handling such as client billing.
Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to department leaders.
Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits / and or record reviews.
Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process.
Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
Monitors claim rejections for trends and issues; reports these findings to supervisor or director.
Practices excellent customer service skills by answering patient and third party questions and / or addressing billing concerns in a timely and professional manner.
Assists in reviewing and / or resolving credit balances.
Participates in general or special assignments and attends required training.
Required Skills
Minimum Education : Must be a high school graduate or equivalent.
Required Experience
Minimum Work Experience : Medical office experience preferred. Strong computer skills (MS Word and Excel). Ability to maintain accuracy while working on multiple tasks in a fast-paced environment under low to moderate supervision.
Good verbal and written communication skills, including professional telephone etiquette. Ability to ensure confidentiality of sensitive information and maintain HIPAA compliance.
Dependable in both production and attendance. Good organization and time management skills.
Patient Financial Services Biller-Full Time
Practices excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Reviews, evaluates, and forwards manual patient account statements to payers that do not accept electronic claims or that require special...
Patient Access Representative (Scheduling)-Full Time
Review care gap reports and proactively contacting the patient / patient representative to schedule needed services. Review care gap reports and proactively contacting the patient / patient representative to schedule needed services. Facilitate patient scheduling to ensure timely access to medical c...
Part-Time (Full-Time in Future?) Interventional Pain Opportunity in Metro Louisville, KY!!
Part-Time (Full-Time in Future?) Interventional Pain Opportunity in Metro Louisville, KY!!. This is a part-time 1 day/week position, eventually can be 2 - 3 days/week or even full-time. ...
Environmental Services Team Lead-Full Time
This full-time, regular/at-will position is based at the JSH-Medical Center and offers a competitive hourly wage ranging from $10. As an Environmental Services Team Lead, you will play a crucial role in maintaining a clean, safe, and welcoming environment for patients, staff, and visitors. Jennie St...
Operations Patient Access Representative (Clinic Athena Scheduling)- Full Time
The Patient Access Representative will enjoy interacting with patients and healthcare provider offices on the phone and through messages to schedule patient appointments using Athena. Review care gap reports and proactively contacting the patient / patient representative to schedule needed services....
CSR / Receptionist
The Customer Service Representative contributes to the success of a high-performing organization committed to delivering superior care and exceptional service.Performs a range of administrative and customer service tasks, providing valuable support to the hospital.Provides excellent customer service...
Receptionist
What are salon owners looking for in a great Receptionist?. ...
Senior Customer Service Representative
In the role of Senior Customer Service Representative, you will be responsible for answering inbound calls from policyholders and their representatives that have questions regarding an existing Long Term Care policy. At least one year of customer service experience, preferably in a call-center envir...
Customer Service Representative - Remote
Manage omnichannel customer requests for help through supported technology platforms including, but not limited to, A365, Microsoft Teams, Microsoft Outlook, and ServiceNow. Respond efficiently, professionally, and accurately to customers, explaining possible solutions to needs, and ensuring the cus...
2024-2025 Community Receptionist
EKU Housing & Residence Life is seeking students for the Community Receptionist (CR) position for the 2024-2025 academic year. Community Receptionists work the front desk to provide customer service, administrative assistance, and community engagement in each of our residential communities. Communit...