Patient Account Respresentative

Mt. Washington Pediatric Hospital; Winterset (IA); Hybrid; USD 26,000 - 37,000; Full time

Job summary

Mt. Washington Pediatric Hospital is seeking a Billing Specialist to handle patient accounts, file claims with insurance carriers on UB04 and 1500 forms, and provide outstanding customer service. This full-time role operates in a hybrid setup with remote work after training.

Responsibilities include managing AR, resolving denials/credit balances, and responding to patient inquiries promptly. High school diploma required; CRCS certification within two years is expected.

Qualifications

• Strong customer service experience required.
• Experience with medical insurance claims processing including ICD-10 and CPT coding.
• Prior experience with patient accounts collection preferred.
• Proficiency in use of 10-key calculator and computer.
• CRCS certification required within two years of employment.

Responsibilities

• File claims with primary, secondary, and tertiary carriers on UB04 and 1500 forms.
• Provide excellent customer service to patients via written and verbal communication.
• Manage designated accounts receivable to secure accurate payments.
• Process insurance carrier denials and resolve credit balances.
• Respond promptly to patient inquiries in a timely manner.

Skills

Customer service

English communication

Organizational skills

Multitasking

ICD-10 coding

CPT coding

Medical claims processing

Education

High school diploma or equivalent

CRCS certification within 2 years

Tools

10-key calculator

Job description

• Location 300 W HUTCHINGS ST,WINTERSET, IA, 50273-2104,United States
• Base Pay $18.62 - $27.93 / Hour
• Employee Type FT NON EXEMPT

Contact information

• Name Gabby Wagner
• Phone [phone] ext. 231
• Email [e-mail]

Description

JOB SUMMARY

Performs duties primarily associated with patient accounts and demonstrates ability to file claims with primary, secondary, and tertiary insurance carriers on UB04 and 1500 claim forms. Provides excellent customer service to patients through written and verbal communication. Manages designated accounts receivable accounts to promptly secure accurate payments by processing insurance carrier denials, resolving credit balances and immediately responding to patient inquiries in a timely manner.

Full Time - 80 hours per pay period
7:30 am - 4:00 pm

Hybrid - Remote/Work from home after initial training period ends

Requirements

MINIMUM REQUIREMENTS

Education:High school diploma or equivalent

Licensure/certification:None

Previous Work Experience:Strong customer service experience required. Previous experience working with medical insurance claims processing including ICD-10 and CPT coding required. Prior experience working with patient accounts collection preferred.
Proficiency in use of 10-key calculator and computer required.
CRCS certification required within two years of employment.

Skills:Demonstrated ability to effectively communicate in English with people from diverse professional, educational and lifestyle backgrounds both orally and in writing. Ability to read and write legibly and understand/follow written and verbal directions. Must be able to use calculator in computation of numeric equations and operate a computer. Requires organizational and self motivational skills in prioritizing and managing multiple tasks. Ability to remain calm in stressful situations and focused amid constant interruptions in a fast paced environment. Must be able to retrieve from alpha and numeric filing system.