Athena Patient Account Representative

Sullivan County Community Hospital; New York (NY); Ibrido; USD 32.000 - 42.000; Tempo pieno

Descrizione del lavoro

Sullivan County Community Hospital in Sullivan, IN is seeking a Full Time Clerical candidate to support patient accounting and billing operations. The role emphasizes accuracy, timely claims submission, and strong customer service in a busy hospital setting.

Requires a high school diploma, knowledge of office operations, Medicare/Medicaid billing understanding, and the ability to work with minimal supervision. Athena experience is preferred, with a cross-training mindset across tasks.

Competenze

• High school graduate or equivalent.
• Knowledge of business office operations.
• Understanding Medicare/Medicaid billing requirements.
• Customer satisfaction focus in patient inquiries.
• Experience using office equipment.
• Ability to adapt to procedural changes.
• Excellent written and oral communication.
• Works independently with minimal supervision.
• Supports cross-training across tasks.

Mansioni

• Review and correct claims issues in in-house holds and claim scrubs.
• Send clean, timely claims on first billing.
• Reconcile desktops to front-end rejections and resubmit to payer.
• Review outstanding AR using ATB, queues, and payment reports.
• Submit timely adjustments with documented activity in accounts.
• Understand and manage denials; submit disputes and appeals.
• Follow up with payors to ensure proper processing and payment.
• Know payor contracts, billing guidelines, revenue codes, CPT codes, modifiers.
• Investigate denial trends with payer documentation; propose action plans.
• Provide back-up phone support to billing lines daily.

Conoscenze

Athena

Office operations

Billing knowledge

Medicare/Medicaid billing

Customer service

Office equipment

Independent work

Cross training

Communication skills

Formazione

High school degree

Strumenti

Athena

Descrizione del lavoro

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Clerical Sullivan, IN, US

QUALIFICATIONS

Education

• High school graduate or equivalent

Experience/Skills

• Athena experience preferred
• Possesses knowledge of business office operations
• Understands third party billing requirements
• Understands Medicare/Medicaid inpatient and outpatient billing
• Strives for customer satisfaction when responding to all patient/customer inquires (internal customers)
• Experience using office equipment
• Adapts professionally to changes in procedures and/or workload
• Possesses excellent written and oral communication skills
• Works independently with little supervision
• Remains committed to a “cross training” philosophy for all assigned tasks

Working Conditions

• Works in a well-ventilated, well-lit general office environment
• Works well under pressure with attention to time constraints

ROUTINE RESPONSIBILITIES

• Consistently complies with established Behavioral Expectations
• Reviews, identifies, and corrects claims issues identified in inhouse hold and the claim scrubbing holds
• Sends clean, timely claims out on first billing
• Works reconciliation desktops to ensure upfront rejection of claims are processed and resubmitted to correct payer
• Reviews assigned outstanding accounts receivable by using ATB, queues, and payment reports
• Submits timely and accurate adjustments documenting activity in account
• Understands and manages denials, submitting timely disputes and appeals
• Follows up with insurance companies to ensure claims are processed and paid correctly according to contract
• Understands payor contracts and billing guidelines. revenue codes, cpt codes, modifiers, and payor-specific guidelines
• Investigates and reports claims denial trends with payer documentation for departments to review and establish action plan
• Provides back-up phone support to billing lines daily