What are the responsibilities and job description for the Patient Account Representative position at PUTNAM COUNTY HOSPITAL?
| Job Summary: | You will be required to have extensive knowledge to review, analyze, and interpret regulations and standards for appropriate coding billing to insure third party payor regulations and standards to maximize reimbursement for services rendered. |
| Job Duties/Responsibilities: | |
| • | Knowledge of third party payer procedures and coding guidelines |
| • | Responsible for review, analysis, and interpretation of regulation for proper coding |
| • | Submit claims electronically to payors |
| • | Submit appeals to insurance companies for incorrect processing of claims |
| • | Communicate with case management for peer to peer review on outstanding denials |
| • | Follow all regulatory guideless from CMS on LCD and NCCI edits |
| • | Assign appropriate modifiers to all outgoing claims |
| • | Contact third party payor on outstanding claims that are unresolved |
| • | Handle patient complaints either internally or by contacting other departments to resolve their issues. |
| • | Understanding explanation of benefits |
| • | Posting of payments and denials to patient accounts |
| • | Performs other duties as assigned |
| Education Experience: | HS Graduate or Equivalent |
| Years of Related Experience: | 1-2 Years |
| License/Certificate Required: | No |
| Driver's License Required: | No |
| Travel Requirements: | None |
| Age Requirement: | 18 |
| Job Requirements: | |
| • | Familiarity with or the ability to quickly learn Electronic Medical Record system (CPSI) |
| • | Exceptional customer service skills |
| • | Excellent verbal and written communication skills |
| • | Ability to act with integrity, professionalism, and confidentiality |
| • | Strong time management skills with a proven ability to meet deadlines |
| • | Accurate data entry |
| • | Ability to multi-task |
| • | Abide by all hospital and HIPAA policies |
| Preferred Skills: | |
| • | Knowledge of ICD10, CPT, and HCPCS coding guidelines |
| • | Knowledge of medical terminology |