Patient Accounts Representative II - Follow Up

100 Lawrence Memorial Hospital; USA; Vor Ort; USD 42.000 - 64.000; Vollzeit

Zusammenfassung

LMH Health is seeking a Patient Accounts Representative to handle timely and accurate billing and collections for hospital claims. You will review claims for third party payers, attach documentation, analyze payments and adjustments, and ensure compliance with billing rules while supporting patient inquiries with respect and professionalism.

The role emphasizes internal customer service, accurate audits, and proactive follow-up on outstanding claims, with opportunities for growth and competitive

Qualifikationen

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

Aufgaben

• 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.

Kenntnisse

Two years' experience in billing

Ausbildung

High School diploma or equivalent

Jobbeschreibung

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 community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits

I. JOB SUMMARY

The 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 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.

III. JOB QUALIFICATIONS

Required: High School diploma or equivalent

Preferred: Two years' experience of third party billing and follow up, in a healthcare setting

Our Cultural Beliefs

People First

Integrity Matters

Better Together

At 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.

Find a career you will love. At LMH Health, great care begins with great people.