55 Patient Accounts Representative Jobs in Boston, MA
Boston Children's Hospital is Hiring a Patient Accounts Representative Near Boston, MA
Patient Accounts Representative will:
Coverage/Referral/Authorization
- Collect, verify, and record all demographic information required for financial pre-processing of patients.
- Verify insurance eligibility utilizing available technologies, payer websites, or by phone contact with third party payers
- Ensure that correct insurance company name, address, plan, and filing order are recorded in the patient accounting system
- Utilize payer exception reports to update coverage / PCP information
- Contact clinical departments and PCP offices to secure referrals and enter into patient accounting system
- Document all actions taken on account with clear and concise account notes
- Participate in process improvement opportunities
- Prepare and submit accurate insurance claims to payer within proper timeframes. Accept, reject, and reconcile claim runs daily. Ensure prompt resolution of outstanding insurance claims.
- Effectively work payer scrubber and denial reports daily
- Review claims for accuracy and correct errors as needed
- Collaborate with referral/authorization staff to resolve issues
- Update demographic and coverage information as needed
- Resolve claims processing issues with 3rd party payers and provide all requested
- information timely; engage patients and family members to resolve claim or insurance issues when needed
- Provide documentation to have claims processed and paid. Research, prepare, and provide 3rd party payer appeals. Request account adjustments in accordance with payer contractual agreements
- Document all actions taken on account with clear and concise account notes and maintain billing logs as required
- Prepare reports as required. Monitor and identify trends, denials/claim errors by payer and refer as appropriate
- Maintain a thorough understanding of 3rd party payer contracts.
- A high school level of educational development
- Previous experience in a medical billing setting, preferably on an automated system is preferred
- Analytical skills to gather and interpret data in situations in which the information or problems are relatively routine
- Ability to exchange information on factual matters. Interaction requires courtesy and tact when dealing with patients, hospital employees and third parties
- Fluency in oral and written English, with emphasis on communication skills and the ability to document records. The ability to communicate effectively both orally and in writing and provide empathy in difficult interpersonal situations is required
- Ability to work with diverse internal and external constituencies
- Attention to detail, good organizational skills, ability to meet priorities within set timeframes, and ability to work as part of a team
Job Summary
Full Time
$43k-53k (estimate)
05/07/2023
05/19/2024
bostonchildrenshospital.org
East Freedom, PA
<25
Related Companies
The job skills required for Patient Accounts Representative include Billing, Medical Billing, Communicates Effectively, Communication Skills, Organizational Skills, Process Improvement, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient Accounts Representative. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient Accounts Representative. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Patient Accounts Representative positions, which can be used as a reference in future career path planning. As a Patient Accounts Representative, it can be promoted into senior positions as a Patient Accounts Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Accounts Representative. You can explore the career advancement for a Patient Accounts Representative below and select your interested title to get hiring information.
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