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    8073326 - Senior Patient Account Specialist - Lake Charles, United States - Virtelligence

    Virtelligence
    Virtelligence Lake Charles, United States

    2 weeks ago

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    Description

    Job Description

    Job DescriptionDuties:
    • The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services.

    Responsibilities:
    • Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment.
    • Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle.
    • Provide excellent customer service to market personnel, insurance carrier representatives and patients. Document all follow-up efforts in practice management system.
    • Assists with patient education concerning insurance plan.
    • Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
    • Maintains strict confidentiality.
    • Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
    • Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.
    • Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.
    • Supports and adheres to CHRISTUS Health Service Guarantee.
    • Performs all other duties as assigned.
    Requirements:
    • High school diploma or equivalent; college course work a plus. Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
    • Effective oral and written communication skills Detail oriented.
    • Ability to work independently and as part of a team.
    • Minimum three years of physician billing experience.
    • Candidate must possess the following: Extensive knowledge of CPT, HCPCS and ICD-9 coding principles in a multi-specialty physician practice.
    • Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies.
    • Ability to successfully perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund processing.
    • Advanced understanding of medical terminology.

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