Patient Accounts & Revenue Specialist (Billing & Collections)

Talentify; Lawrence (MA); On-site; USD 26,000 - 39,000; Full time

Benefits offered by this job

Competitive pay

Robust benefits

Paid time off

Free parking

Job summary

Merrimack Health is seeking a Patient Account Representative to ensure accurate billing and timely collection of patient accounts, delivering patient-focused service and supporting hospital revenue.

Responsibilities include billing, follow-up, denial resolution, payer communications, HIPAA compliance, and using system reports to correct errors. A high school diploma and 1 year of hospital billing experience are required or preferred.

Qualifications

• High School graduate or equivalent
• Minimum 1 year of hospital facility billing experience or a graduate of a medical billing program
• Knowledge of medical coding and medical terminology preferred

Responsibilities

• Completes billing, follow up, denial resolution and appeals of accounts with payers in compliance with applicable payer and departmental guidelines and policies.
• Embraces and uses technology provided to complete daily tasks.
• Reviews all claims assigned prior to electronic submission and corrects any errors.
• Understands insurance principles, terminology and regulations. Keeps abreast of HIPAA regulations and requirements.
• Reports billing and collection trends and issues to the Coordinator.
• Communicates information regarding billing practices, insurance claims submissions, and patient responsibility to all customers in a clear, helpful and respectful manner.
• Answer calls and provides resolution for patients inquiring about their accounts.
• Works as a collaborative, constructive, cooperative team member within the Patient Financial Service Department and Hospital departments.
• Utilizes system reports to identify and correct errors to assigned accounts. Seeks direction from the Coordinator on difficult accounts.
• Assists with the reconciliation of credit balance accounts, including identification and refund processes, with the PFS Coordinator.

Skills

Billing knowledge

Education

High School diploma or equivalent

Job description

Merrimack Health is seeking a Patient Account Representative to ensure accurate billing and timely collection of patient accounts, delivering patient-focused service and supporting hospital revenue.

Responsibilities include billing, follow-up, denial resolution, payer communications, HIPAA compliance, and using system reports to correct errors. A high school diploma and 1 year of hospital billing experience are required or preferred.