North Olmsted, OH 44070
North Olmsted, OH has an immediate need for a Patient Account Rep in the Government Collections department. Hours are: 8am-5pm w/hour lunch, or 8:30am-5pm w/thirty minute lunch. Salary is $12-13 an hour as a contract employee; $14-$15 once hired.
Utilizing the Medicare Direct Data Entry system to identify and resolve any claims that have been Returned to Provider (RTP).
Generating and monitoring all work lists specific to the Collections Role, which identifies claims where payment was denied or was less than expected reimbursement, unpaid Commercial claims that have qualified for follow-up, unpaid Medicare claims that have qualified for follow-up, and guarantor balances that require follow-up.
Performing the following duties as required based on follow-up activities: Identifying the need for insurance changes and completing required forms to initiate request, transferring balances to correct payer, initiating re-bill of unpaid or underpaid claims, processing non-cash related adjustments per established guidelines, initiating appeal requests per payer guidelines, notifying the legal department and places collection activity on hold when a bankruptcy notice is received per bankruptcy policy.
Completing document follow-up activities in eCube Financials per established guidelines.
Ensuring that all Medical Justification Requests are submitted within the established timeline and per the Additional Development Request (ADR) Policy.
Establishing payer filing limits to ensure that follow-up is completed within the established timeline and claims paid so that denials are not received for claims filed untimely. If necessary, prepares bad debt write-off package with supporting documentation per established guidelines.
Other duties as assigned.
High School Diploma or Equivalent.
1-2 years healthcare billing or collections experience required with a High School Diploma; no experience required with a Healthcare Certificate or 2 or 4 year Degree.
Good computer skills with working knowledge of word processing, spreadsheet and email applications.
Detail oriented with good analytical and organizational skills.
Good interpersonal skills with the ability to work cohesively within a team environment.
Possess a positive, enthusiastic and energetic attitude.
Excellent oral and written.