- Work daily electronic billing work queues and paper claims submission by resolving payer edits and mailing/releasing claims to the clearing house or third party payers.
- Document billing activity on the account; ensure compliance with all applicable billing regulations for assigned payers and report any suspected/questionable compliance/billing concerns to the attention of department leaders.
- Review and correct all claim denials that are communicated via Explanation of Benefits (EOB), denial reports, denial management system or correspondence from the insurance carrier or others to determine what follow-up action is necessary including initiating the adjustment or appeals process if needed.
- Review and process all required daily reporting activities including late charges, diagnosis changes, charge corrections and initiates corrected bills to the payer as needed.
- Determine proper disposition of credit balances and take backs (from payers) on accounts and initiates refunds, adjustments or corrected claims.
- Monitor claim rejections for trends and issues, report these findings to the team lead/manager to reduce future claim rejections.
- Perform follow-up on unresolved open accounts and document all reasons for reimbursement delays as well as actions taken within the electronic billing system.
- Monitor workload for aging inventories and timely filing.
- Practice excellent customer service skills by answering patient, internal associates and third-party questions and/or addressing billing concerns in a timely, professional and efficient manner.
- High school diploma or equivalent required, Associates degree preferred.
- Minimum of 1-2 year's medical billing experience in a health care setting preferred.
- Knowledge of basic patient accounting processes and healthcare terminology strongly preferred.
-
Account Representative
1 week ago
Tyler Mulhall - State Farm Agent Hampshire, United States**Position Overview**: · Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you State Farm agents market only State Farm insurance and fin ...
-
Patient Accounts Representative
1 week ago
Catholic Medical Center Manchester, United StatesResponsibilities include accurate billing of hospital and/or professional accounts, ensuring timely claim submission, and reimbursement from various third-party payers, ensuring proper account documentation, charging and refund activities in the hosp Billing, Patient, Representat ...
-
Patient Account Representative
2 weeks ago
Catholic Medical Center Manchester, United StatesWho You Are:You are an essential part of Catholic Medical Center (CMC) as a Patient Accounts Representative in our Physician Practice Billing Department. Your dedication lies in ensuring accurate billing of hospital accounts, timely claim submissions, and securing reimbursements ...
-
Government Account Representative
1 week ago
Grainger Manchester, United StatesGrainger is a leading broad line distributor with operations primarily in North America, Japan and the United Kingdom. We achieve our purpose, We Keep the World Working, by serving more than 4.5 million customers with a wide range of products that keep their operations running an ...
-
Insurance Account Representative
2 weeks ago
Travis Hesser - State Farm Agent Manchester, United States Full timePosition Overview · Successful State Farm Agent is seeking a qualified professional to join their winning team for the role of Insurance Account Representative - State Farm Agent Team Member. We seek an energetic professional interested in helping our business grow through value- ...
-
Insurance Account Representative
2 days ago
Jean Stewart - State Farm Agent Loveland, United StatesJob Description · Job DescriptionPosition Overview · Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you State Farm agents market only ...
-
Personal Lines Account Representative
1 week ago
Bellows Nichols Agency Inc. Peterborough, United States**Are you on the lookout to grow in your career as a Licensed Personal Lines Account Representative? Set your sights on Bellows-Nichols Agency** · **Salary**: $ $ per year · **Benefits** · Annual Base Salary Based on Experience · Paid Time Off (PTO) · Health Insurance · Dental In ...
-
Member Services Representative
2 weeks ago
Community Healthcare CU, Inc. Manchester, United States_Teller/Member Service Representative _ · - Represent the Credit Union to members in a courteous and professional manner and provide prompt, efficient, and accurate service in the processing of transactions. · - Respond to members' requests, problems, and complaints and/or direct ...
-
Levy Sector Manchester, United States**Salary: $80-90k** · **Other Forms of Compensation**: · **Pay Grade: 14** · Different perspectives make us better. We're committed to creating an equal opportunity and fair treatment environment, where learning and growing together is just part of our every day. An environment w ...
-
Customer Service Representative
12 hours ago
HRC Total Solutions, LLC Manchester, United StatesHRC Total Solutions, LLC is a TPA of pre-tax benefit accounts and COBRA. As a recognized leader in our services, we continue to build and expand our talented team of professionals, and we are seeking a motivated and enthusiastic individual to join our customer service team As a C ...
-
Packaging Materials Planner Ii
1 week ago
DHL Manchester, United States**Packaging Materials Planner II** · Would you like to be an influential leader in a growing and dynamic business unit within DHL Supply Chain? Are you motivated by leading others in a fast-paced contract manufacturing environment? Are you the type of person who takes initiative ...
-
Therapeutic Specialist Manchester New Hampshire
2 weeks ago
Insmed Incorporated Manchester, United StatesCompany Description: · Insmed is a global biopharmaceutical company on a mission to transform the lives of patients living with serious and rare diseases. Our most valuable resource is our employees, and everything we do is motivated by a patients-first mentality. We are dedicate ...
-
Finance Associate
1 week ago
Aspire Living & Learning Manchester, United StatesThe Finance Associate at Aspire Living & Learning plays a vital role on the finance team processing payroll and following financial management best practices. This is a remote position. · **Key Responsibilities**: · **GENERAL AREAS** · - Accurately and efficiently performs a wide ...
-
Activities Assistant
1 day ago
The Courville at Manchester Manchester, United States**Are you a positive person? Do you enjoy crafts and field trips?** · **The Courville at Manchester** is a Senior Healthcare Community in Manchester's North End. We are locally owned and operated and committed to providing personalized service and care. · We're looking for an ene ...
-
Sales Trainee
2 days ago
Graybar Electric Company, Inc. Manchester, United StatesAre you ready? · Join our upcoming Sales Trainee Program and receive a mix of formal and hands-on learning. Our Sales Trainees are exposed to all areas of our business before moving into a Sales Representative role. Graybar offers a competitive salary and benefits package includi ...
-
Service Manager
2 weeks ago
Cintas Manchester, United States**Requisition Number**: 172933 · Cintas is seeking a Service Manager to directly manage our customer facing Service team. Responsibilities include hiring and performance management; managing the overall performance of a team; providing leadership by fostering a safe working envir ...
-
Communications Business Partner
1 week ago
BAE Systems Manchester, United StatesYou don't see it, but it's there. Our employees work on the world's most advanced electronics - from saving emissions in the City of Lights to powering the Mars Rover to protecting the F- 35 fighter jet. At Electronic Systems you'll be among the brightest minds, working on the ae ...
-
Acute Registered Nurse
3 days ago
Fresenius Medical Care Manchester, United States Full timePOSITION FEATURES: · Sign on Bonus is Available · This position is full-time 36 hours supporting our locations in Concord and Manchester, NH · Hours may vary due to the nature of the position so scheduling flexibility is required · No dialysis experience needed · 1+ years hospit ...
-
SolutioNHealth Manchester, United States Full timeCome work at the best place to give and receive careJob Description: Who We Are:Here at SolutionHealth, we take great pride in serving our community, patients, and families. If you meet the requirements below, and are ready for a great new adventure, consider applyingAbout the Jo ...
-
Panera Bread Manchester, United States Full timeCome work at the best place to give and receive care?Job Description:Who We Are:Here at SolutionHealth, we take great pride in serving our community, patients, and families. If you meet the requirements below, and are ready for a great new adventure, consider applyingAbout the Jo ...
Patient Accounts Representative - Manchester, United States - Catholic Medical Center
Description
Who you are:
As a Patient Accounts Representative - Billing, you'll be responsible for accurate billing of hospital and/or professional accounts, ensuring timely claim submission, reimbursement from various third-party payers, ensuring proper account documentation, charging and refund activities in the hospital's electronic billing system and pursuing follow-up efforts on open accounts.
Note:
This is a hybrid position offering 2 days remote after training.
What you'll do:
What you'll bring:
Who we are:
Catholic Medical Center ("CMC") is a nonprofit, regional health system committed to delivering the highest quality and most advanced healthcare to patients across New Hampshire.
CMC is the home of the nationally-renowned New England Heart & Vascular Institute, rated among the top cardiovascular programs in the country.
We are driven by our mission to offer health, healing, and hope to every individual who seeks our care, and we live by our values of Respect, Integrity, Compassion, and Commitment.
This prestigious award is presented by Forbes and Statista, Inc., and is based on 2.1 million employer recommendations from employees working for companies with more than 500 employees in the United States.
With our award-winning clinical programs, primary care network and dedication to community, CMC is fostering a healthier New Hampshire, every day.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
