Patient Financial Representative/Biller/Full-time/Days

Paycom - ATS; Bonners Ferry (ID); On-site; USD 36,000 - 54,000; Full time

Job summary

Paycom - ATS is seeking a Financial Representative to handle collection and billing activities for services rendered. You will submit claims, manage accounts receivable, and coordinate with payers to ensure timely payments.

Responsibilities include reviewing remittance advice, identifying primary insurance liability, and maintaining accurate notes in the patient accounting system while adhering to hospital policy.

Qualifications

• High School diploma or GED equivalency.
• Working knowledge of medical terminology, billing, coding and accounting strongly preferred.
• Insurance, Medicare and Medicaid billing experience strongly preferred.

Responsibilities

• Review and submit claims to third party payers from patient accounting system.
• Perform collection and follow-up on outstanding AR balances in accordance with policies and procedures.

Skills

Accounts receivable

Medical billing

Patient accounting

Claims processing

Insurance verification

Education

High School diploma or GED

Tools

Meditech

NextGen

Job description

Job Details: Job Location: Legal Address - Bonners Ferry, ID 83805, Position Type: Full Time, Schedule - Monday-Thursday; 6:30am-4pm; Friday - 8am-Noon

POSITION SUMMARY:

The Financial Representative is responsible for the collection of all monies due for services rendered in accordance with established credit policies.

ESSENTIAL JOB DUTIES/REQUIREMENTS:

• Reviews and submits claims to third party payers from patient accounting system; reviews and corrects daily rejection/submission reports to confirm claims submission.
• Performs collection and follow-up activities on outstanding accounts receivable in accordance with policies and procedures; keeps AR balances within target.
• Analyzes information to determine primary insurance liability in cases requiring coordination of benefits.
• Review Remittance Advice payments and prepares claims to send to secondary or tertiary payers; calculated deductible and coinsurance and keys in crossovers into Medicaid system.
• Reviews Payment denials; determines ‘next step’ needed to rectify problem before resubmitting a corrected claim for payment. This frequently requires additional communication with patient, insurer, responsible party and insurance, etc.
• Researches, identifies and rectifies any special billing circumstances that may be affecting or delaying prompt payment on patient accounts.
• Identifies problem delinquencies and makes recommendations for their disposition (i.e. referral to in-house collections, write offs, etc.).
• Monitor monies owed to assure that the appropriate amount is indicated under the correct financial class (bucket).
• Types concise notes in Meditech and NextGen to aid others who may be reviewing an account.
• Prepares business Office bank deposit which is taken to the bank daily. Enters credit card payments (giving copies to RCS)
• Registers patients accurately for their hospital visit.
• Addresses patients, visitors and co-workers in a pleasant and respectful manner.
• Receives and answers inquiries concerning patients or family questions regarding their accounts.
• Take payments for those presenting to the business office.
• Ability to react properly and follow correct policies and procedures in an emergency and/or disaster.
• Continues to stay informed of any statues and regulations that could affect collection of accounts receivable (i.e. insurance company changes, Medicare, Medicaid changes, collection regulations).
• Must wear Personal Protective Equipment (PPE) as situations require maintaining Infection Control standards set by the Hospital.

Qualifications: POSITION QUALIFICATIONS:

• High School diploma or GED equivalency
• Working knowledge of medical terminology, billing, coding and accounting strongly preferred.
• Insurance, Medicare and Medicaid etc. billing experience strongly preferred.