What are the responsibilities and job description for the Accounts Representative position at Grand Lake Health System?
Hours of Job
- Full-time onsite employment. 8:00 a.m. - 4:30 p.m.
- No Holidays or Weekends Required
Duties and Key Responsibilities
- Prepare, review, and submit electronic and paper claims to insurance carriers (Medicare, Medicaid, commercial payers)
- Verify patient insurance eligibility and benefits
- Post contractual adjustments and reconcile accounts
- Follow up on denied or unpaid claims and resolve billing issues
- Work closely with coding staff to ensure accurate claim submission
- Communicate professionally with patients regarding billing questions and payment arrangements
- Maintain compliance with HIPAA and all federal and state billing regulations
Education/Certifications
- High School graduate or GED required
- Associate's degree in healthcare administration or related field preferred
Experience
- Previous medical billing experience is preferred, but not required
- Knowledge of CPT, ICD-10, and HCPCS coding
- Experience with Medicare, Medicaid, and commercial insurance billing
- Familiarity with electronic health records (EHR) and billing software systems
- Strong attention to detail and organizational skills
- Excellent communication and customer service skills
Grand Lake Health System provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. GLHS complies with applicable state and local laws governing nondiscrimination in employment in all of our locations. In addition, Grand Lake Health System is an At-Will Employment employer.