Patient Accounts & Billing Specialist II

100 Lawrence Memorial Hospital; United States; On-site; USD 40,000 - 50,000; Full time

Job summary

LMH Health in Lawrence, KS is seeking a Patient Accounts Representative to handle timely and accurate billing and collections for hospital claims. You will review claim details, attach documentation, and analyze payments and adjustments to ensure proper remittance from third party payers.

This role emphasizes internal customer service, professional conduct, and adherence to payer requirements, with participation in appeals of denials and ongoing claim follow-up.

Qualifications

• Required: High School diploma or equivalent.
• Preferred: Two years' experience of third party billing and follow up, in a healthcare setting.

Responsibilities

• Understand the importance of internal customer services.
• Maintains a positive working relationship and communicates appropriately.
• Maintains professional atmosphere through responsible actions and deeds.
• Acts in a professional manner representing the department appropriately at all times.
• Maintains knowledge and ensures compliance with third party payer and government billing requirements.
• Responds to patient questions with concern at all times, treating them with respect and dignity.
• Performs audits of patient accounts to ensure accuracy and timely payment.
• Verify insurance benefits for commercial, Medicare and Medicaid Payers via phone and website.
• Identifies and corrects billing errors and resubmits claims.
• Ensures timely follow up and appropriate escalation of outstanding claims with third party payers.
• Review EOBs and initiate appeals as necessary.
• Verifies payments and discounts with insurance carriers.
• Works appeals and denials.
• Performs other duties as assigned or requested.
• Regular and reliable attendance is an essential function of this position.

Education

High School diploma or equivalent

Job description

LMH Health in Lawrence, KS is seeking a Patient Accounts Representative to handle timely and accurate billing and collections for hospital claims. You will review claim details, attach documentation, and analyze payments and adjustments to ensure proper remittance from third party payers.

This role emphasizes internal customer service, professional conduct, and adherence to payer requirements, with participation in appeals of denials and ongoing claim follow-up.