Patient Account Representative II, Patient Financial Services, Outpatient, Full-time

Brooks-Rehabilitation; Jacksonville (FL); On-site; USD 30,000 - 39,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Benefits package

Vacation/Paid Time Off

Retirement Plan with Match

Employee Discounts

Clinical Education and Professional Dé

Job summary

Brooks Rehabilitation in Jacksonville, FL is seeking a dedicated Billing Follow-Up specialist responsible for prompt collections of medical claims and resolving outstanding balances with patients and insurers. The role involves reviewing remittance, submitting claims/appeals, and ensuring accurate account documentation.

Qualified candidates will have a high school diploma with five years of related experience, proficiency in Microsoft Office, CPT/HCPCS/ICD-10 knowledge, and strong communication

Qualifications

• High School graduate with five years of job-related experience in physician/hospital Business Office or Clinical Business Office.
• Proficient in Microsoft Office.
• Knowledge of CPT, HCPCS and ICD-10 coding procedures.
• Working knowledge of medical terminology.
• Detail oriented with strong communication skills.
• Strong problem-solving and troubleshooting abilities.
• Experience with data spreadsheets.
• Experience with Government and Managed Care insurance carriers preferred.

Responsibilities

• Follow up on outstanding claims and denials.
• Contact patients and/or insurance companies to resolve balances.
• Submit claims and/or appeals to insurance carriers; review remittance reports for denials and errors.
• Document accounts clearly and resolve to final collections; initiate collection letters for patient liability.
• Monitor accounts for payment reversals and updates; respond to patient questions professionally.
• Request medical record documentation as required to resolve accounts.
• Perform daily account follow-up using the worklist in the Patient Account system.
• Verify payment schedules for correct allowances and account numbers.
• Support contract compliance for HMO and PPO plans.
• Correct bad addresses as necessary.
• Strive for optimal collections for accounts receivable under 90 days.
• Adhere to Brooks Rehabilitation policies and procedures.

Skills

Communication skills

Problem solving

Attention to detail

Computer skills

Education

High School diploma

Tools

Microsoft Office

Patient accounting system

Job description

This position is responsible for all duties involved with the follow-up and prompt collections of medical claims. All outstanding claims must be resolved in a timely manner. Responsible for contacting patients and/or insurance companies to resolve account balances. Review remittance reports for denials, errors and resubmits claims with correct data. Submit claims and/or appeals requests to insurance carriers for payment and adjustments. Monitor accounts for reversal of payments, must understand and complete all Credit Balance Reporting when directed. Respond to patient questions, problems or complaints in a courteous and professional manner.Responsibilities:Follows up on outstanding claims.Works all denials manually and/or electronically by using the designated systems on a timely basis, report problems to Supervisor/Manager.Documents all accounts clearly and concisely of all activity and resolve all accounts through final collections, initiates appropriate collection letters on patient liability.Request medical record documentation as required to resolve the account.Performs daily account follow-up using the worklist in Patient Account system.Mails or submits claims electronically.Verify payment schedules for correct allowances and account numbersAccumulates, prepares, and analyzes data necessary for contract compliance of HMO and PPO plans.Correct bad addresses as necessary.Strive for optimal collections pertaining to account receivables less than 90 days.Adheres to all Brooks Rehabilitation policies and procedures.Qualifications:High School graduate with five years job related experience in physician/hospital Business Office or Clinical Business Office.Additional qualification includes Microsoft Office.Knowledge of CPT, HCPCS and ICD-10 coding procedures.Working Experience with medical terminology.Detailed oriented.Great communications skills, both written and oral.Ability to have comprehensive Computer skills.In-depth working knowledge of Government and Managed Care insurance carriers preferred.Must have problem solving and troubleshooting skills.Working experience with data spreadsheetsCompensation: Experience and education may be considered along with internal equity when job offers are extended.Location: 1101 Samuel Wells Complex, Suite 1102, Jacksonville, FL 32216Hours: Monday - Friday, 40 hours per weekThriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:Competitive PayComprehensive Benefits packageVacation/Paid Time OffRetirement Plan with MatchEmployee DiscountsClinical Education and Professional Development Programs