Patient Accounts Representative II

lmh; Lawrence (KS); On-site; USD 36,000 - 48,000; Full time

Job summary

LMH Health in Lawrence, KS is seeking a Patient Accounts Representative to ensure timely and accurate billing and collections for hospital claims. You will verify insurance benefits, review EOBs, and escalate issues with third party payers to secure payments.

The role emphasizes internal customer service, professional conduct, and compliance with payer requirements; two years' billing experience is preferred, and a High School diploma is required. Join a team dedicated to healthy communities.

Qualifications

• High School diploma or equivalent (required).
• Two years' experience of third party billing and follow up, in a healthcare setting (preferred).

Responsibilities

• Understand the importance of internal customer services and maintain positive relationships.
• Review and analyze information on claims for accurate submission to third party payers.
• Verify insurance benefits for commercial, Medicare and Medicaid payers via phone and website.
• Identify and correct billing errors and resubmit claims; monitor outstanding claims with payers.
• Review EOBs and initiate appeals as necessary; work denials and follow up on payments.

Education

High School diploma or equivalent

Job description

Something special starts here.You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.You'll find everything you're looking for at LMH Health:Join a team that cares about the communityTuition reimbursement to support continuing educationProfessional development and recognitionExcellent benefitsWe're looking for you.Job DescriptionSchedule:Monday- Friday8a-5pI. JOB SUMMARYThe Patient Accounts Representative is responsible for timely and accurate billing and collections of hospital claims to patients and third party payers. Review and analyze information contained on claims for accurate submission to third party payers to remit payment. Responsible for all phases of billing and attaching appropriate documentation for payment. Analyzes payments and adjustments for accuracy. Displays flexibility regarding work assignments.II. ESSENTIAL JOB RESPONSIBILITIESUnderstands 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 EOB's 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 positionIII. JOB QUALIFICATIONSRequired :High School diploma or equivalentPreferred:Two years' experience of third party billing and follow up, in a healthcare settingOur Cultural BeliefsPeople FirstIntegrity MattersBetter TogetherAt LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.