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- Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).
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- Review claims on-line as offered by individual payors to ensure timely processing
- Contact insurance carriers by phone regarding outstanding balances, as needed
- Resubmit claims to insurance carriers, as needed
- File appeals on technical denials and/or claim disputes, as needed
- Validate accounts for accurate payments, discounts, and contractual adjustments, correcting them, as needed
- Reply to insurance carrier correspondence in a timely matter
- Answer in-coming calls resolving insurance issues in a timely matter
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- Review all credit balance accounts for incorrect contractual adjustments, correcting them as needed.
- Respond in writing to insurance companies' refund requests in a timely matter to avoid inappropriate recoupments.
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Patient Account Representative - Granite City, United States - Gateway Regional Medical Center
Description
Job Description
Job DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.
We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.
WHAT WE OFFER
Job Objective:
Under the supervision of the Director of Revenue Cycle, or designee, performs patient account insurance follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible.
Duties and Responsibilities:
Non-Essential Duties:
Assist with other duties as assigned, within skill sets and abilities
Knowledge
Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement
Working knowledge of Managed Care contract language and interpretation
Education
High School graduate or equivalent
Experience
Minimum 1-year previous Commercial, HMO, PPO, and Workers Compensation billing and/or
Insurance follow-up experience
Will consider 2-years recent acute care hospital Business Office experience
