Patient Account Representative Ii-medicine - Baltimore, United States - Faculty Physicians Inc.

Mark Lane

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Mark Lane

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Description

Performs functions such as charge entry, payment posting (including cash) and reconciliation, handling lockbox duties and/or account investigation, follow-up and collections for moderately complex accounts; and other duties as assigned.

EDUCATION and/or EXPERIENCE

  • High school diploma or general education degree (GED) preferred
  • Two to three years of experience in a physician billing office
  • PC proficiency
  • Accurate data entry skills
  • Knowledge of GE, EPIC or similar computerized billing system
  • Knowledge of payers in specialty
  • Understanding of FSC's and paycodes used in GE system, and the importance of
compliance with all government regulations regarding billing


ESSENTIAL JOB FUNCTIONS

  • Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines.
  • Manually posts payments, contractual adjustments and rejections from EOB's.
  • Performs AR follow up on rejected claims.
  • Performs consistent follow up on open invoices by insurance class utilizing PCS or ATB.
  • Resolves E-commerce edits within department guidelines.
  • Selects AR follow up and/or documentation request in a timely manner.
  • Researches and resolve insurance denials through written appeal, telephone call, web based adjudication system, charge correction or write off request.
  • Gathers required data elements for charge entry purposes.

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