Patient Accounts Representative - Hospital Prof Billing

Nationwide Children's Hospital; Columbus (OH); Hybrid; USD 35,000 - 50,000; Full time

Job summary

Nationwide Children's Hospital is seeking a dedicated professional for processing patient accounts. The role requires timely handling of account information to ensure accurate billing and follow-up activities.

Applicants should have a high school diploma with two years of experience in medical billing. Familiarity with medical terminology and excellent communication skills are essential. The position involves working on-site initially with opportunities for remote work in Central Ohio.

Qualifications

• Two years' experience in medical billing and claims follow-up.
• One year experience working on a mainframe computer.

Responsibilities

• Reviews patient account information for completeness.
• Coordinates with agencies to ensure maximum reimbursement.
• Maintains patient records confidentiality.

Skills

Knowledge of medical terminology

Data entry skills

Problem identification and solving skills

Excellent communication skills

Organization skills

Education

High school diploma

Associates degree

Tools

Mainframe computer

Outlook

Word

Excel

Job description

Overview

Schedule: M-F (Day Shift). On-site during probation period until cleared to work remote. Must reside within Central Ohio area.

Job Description Summary

Responsible for timely processing of duties and activities related to accurate processing and handling of patient accounts. Ensures all patient account information, charges, billings, and follow-up activities are accurate, complete, and timely.

Essential Functions

• Reviews patient account information for completeness and accuracy.
• Makes necessary changes/updates to patient account information to ensure timely payment on accounts. Retrieves status information from government and third party payers regarding outstanding professional claims.
• Coordinates with governmental agencies, third-party payers, and internal auditors to ensure maximum reimbursement for hospital services.
• Acts as a liaison between the hospital and third party payers in resolving billing and reimbursement issues.
• Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a timely manner.
• Maintains patient records and ensures confidentiality of sensitive information.

Education Requirement

• High school diploma, required.
• Associates degree, preferred.

Licensure Requirement

(not specified)

Certifications

(not specified)

Skills

• Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third party payers.
• The ability to do data entry and work a calculator.
• Problem identification and problem solving skills, required.
• Excellent interpersonal, verbal, and written communication skills.
• Excellent organization skills and the ability to comprehend and follow written and verbal instructions.

Experience

• Two years' experience in medical billing, claims follow-up and customer service, required.
• One year experience working on a mainframe computer. Experience using Outlook, Word and Excel, required.

Physical Requirements

OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking

FREQUENTLY: Flexing/extending of neck, Patient Equipment, Peripheral vision

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting

Additional Physical Requirements Performed But Not Listed Above

(not specified)

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet