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

Priority Dispatch Corp.; Jacksonville (FL); On-site; USD 38,000 - 54,000; 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 ProfessionalDev

Professional Development Programs

Job summary

Brooks Rehabilitation in Jacksonville, FL seeks a skilled medical claims follow-up specialist to manage outstanding balances, denials, and resubmissions. You will contact patients and insurers, review remittance reports, and ensure accurate data entry in the billing system.

Ideal candidates have a high school diploma with 5 years in physician or hospital business office, strong Excel and Microsoft Office skills, knowledge of CPT/HCPCS/ICD-10, and excellent communication.

Qualifications

• High School graduate with five years job related experience in physician/hospital Business Office or Clinical Business Office.
• Microsoft Office proficiency.
• Knowledge of CPT, HCPCS and ICD-10 coding procedures.
• Working experience with medical terminology.
• Detail 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 spreadsheets.

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.
• Requests 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 numbers
• Accumulates, 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 Brooks Rehabilitation policies and procedures.

Skills

Microsoft Office

Communication skills

Computer skills

Spreadsheets (Excel)

Education

High School diploma

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