PATIENT ACCOUNT REP - INSURANCE in CANTON, Ohio at Aultman Health Foundation

Patient Account Representative for medical physician practice billing focusing on insurance payers. Primary responsibilities include billing and insurance follow-up utilizing computer applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Documentation on all collection activity is required in computer applications and must maintain production and quality goals.

• 1 year billing preferred, 2-3 years optimal with understanding of insurance, payment posting, and/or denials management

• CPC/RHIT certification-preferred

• Medical office billing experience, PC skills, excellent customer service skills, analytical abilities, excellent attendance

• Strong oral and written communication skills

• Self-directed and capable of working without direct supervision

• Ability to work collaboratively with others

• Dependable in production, quality and attendance

• Office Applications

• Problem-Solving

• Time Management

• Teamwork

• Microsoft Office (Word, Excel, Teams)

• Punctuality

• Conflict Resolution

• Organization

• Communicate effectively

• Detail oriented

• Manage outstanding accounts receivable for clients and/or assigned payers.

• Contact payers via phone calls or websites for claims information and to assist in account resolution.

• Research and resolution of insurance denials for electronic and paper claims.

• Research, prepare and send appeals for payment to payers. Work collaboratively with revenue integrity to create appeals.

• Help identify denial trends to prevent loss revenue. Work with payment posters if there are issues with posting codes.

• Apply Credits to appropriate accounts

• Discuss billing questions/issues with patients in collaboration with customer service team members.

• Track payer issues for payer relations team to research

• Work special projects as needed

• Follow all Policies and Procedures

• Work eight hours a day. Working M-F or hours as required by the job.

• Hybrid/WFH schedule available

• Lunch periods and breaks are coordinated with other staff members to maintain adequate coverage

• Cross training in all areas in the department is required.

• Subject to frequent interruptions and changes in priority of duties throughout the day.

• Ability to work in a cubical setting for long periods of time.

Demands

Frequency

Remarks

Lifting 0-10 lbs

Never

Lifting 10-20 lbs

Never

Lifting 20-35 lbs

Never

Lifting 35-50 lbs

Never

Lifting 50-75 lbs

Never

Lifting 75-100 lbs

Never

Lifting over 100 lbs

Never

Forward Reaching

Continuous 66% of the day

Computer work

Overhead Reaching

Occasional 10-33%

Standing

Occasional 10-33%

Walking

Occasional 10-33%

Sitting

Continuous 66% of the day

Climbing

Never

Stairs/Ladder

Never

Bending/Stooping

Never

Twisting/Turning

Kneeling/Squatting

Crawling

Pushing/Pulling 0-10 lbs

Never

Pushing/Pulling 10-20 lbs

Never

Pushing/Pulling 20-35 lbs

Never

Pushing/Pulling 35-50 lbs

Never

Pushing/Pulling 50-100 lbs

Never

Pushing/Pulling over 100 lbs

Never

Carrying 0-10 lbs

Carrying 10-20 lbs

Carrying 20-35 lbs

Carrying 35-50 lbs

Carrying 50-100 lbs

Carrying over 100 lbs

Grasping/repetitive sustained

Never

Fine motor coordination

Continuous 66% of the day

Vision: Near/Far/Color

Continuous 66% of the day

Hearing: ordinary conversation/other

Continuous 66% of the day