Sr Patient Account Collections Rep

Remote in AZ

Hospital collections experience (commercial insurance). Required

Mon - Fri 6:00am- 2:30pm

Job Summary

This position performs collecting, reconciliation, credit balance resolution, research, correspondence and independent problem solving. Reconciles complex, multi-payment accounts. Submits appeal letters on underpaid claims as directed. Interprets payer contracts to determine if payment and PCON adjustment is accurate. Reviews EOB's for denials, along with posting corrected adjustments in order to balance accounts. Identifies needs for process improvements and creating/enhancing processes in the PFS department. Promotes positive teamwork within department and among employees. Works with all hospital departments for proper coding and billing procedures. Follows all departmental, hospital, and regulatory policies and procedures, including HIPAA requirements. Utilizes top customer service skills with all customers: patients, government agencies, commercial insurances, other hospital departments, physicians' offices and attorneys' offices.

• Reconciles accounts on a daily basis to determine underpayment, overpayment or contractual adjustment correction. Utilizes technical ability and understanding of applicable insurance contracts and regulations.
• Maintains current knowledge of regulatory billing requirements for specified payors. Attends in-services/continued education
• Interprets data processing reports and applies the information as needed for daily departmental productivity.
• Trains other staff members on reconciliation techniques and other aspects of the position.

Qualifications

Education

High School Diploma or GED Required

Experience

Other 18 months patient accounts experience Required

Other 18 months billing, collection or Medicare/Commercial billings Required