Hospital Billing Patient Account Rep

Brief Description

Come join the Ridgeview Hospital Billing team at the Chaska Plaza Business Office!

We are seeking a customer-focused team member who enjoys working with patient payments, interacting with customers by phone, and researching those sometimes hard to answer questions in our Hospital Billing Department. This is a fast-paced and high-volume team in a casual work environment with hands-on leaders who make this a highly collaborative and comfortable work environment. If you are dependable, reliable, and have great computer and customer service skills – be sure to apply now!

Purpose of Job

This position is responsible for the submission, reconciliation and collection of all accounts receivable for Ridgeview Medical Center. Reports and submits claims to third party payers. Answers inquiries and provides customer service in the resolution of billing issues and account balances. Primary focus is in one of the following areas: Payment posting, collections, accounts receivable management, remittance reconciliation.

Job Functions

• Reviews clearinghouse transactions. Reviews rejections for claim corrections, makes appropriate changes, and generates claim for submission or corrected claim.
• Reviews aged accounts receivables, monitors and works outstanding insurance claims.
• Assures payments are posted accurately and timely to patient accounts.
• Answers inquiries regarding insurance and/or billing concerns and follow-up with peer source when needed.
• Completes remittance reconciliation.
• Assists and refers external customers to proper resources for questions.
• Provides professional and courteous customer service to internal and external customers.
• Maintains knowledge on insurance companies policies and billing guidelines.
• Performs other duties as assigned.
  
  

When Functioning as a Lead:

• Trains and mentors new and current staff.
• Assists Director with hiring, team communication, and answers team member questions.
• Communicates concerns/issues to Director as appropriate.
• Performs other duties as assigned.
  

Minimum Education/Work Experience

• High school graduate or equivalent
• 1 year professional medical billing experience or performance history with demonstrated ability to problem solve, provide attention to detail and take initiative
  
  

Knowledge/Skills/Abilities

• Demonstrated skills in claim submission
• Ability to meet and maintain the necessary background checks as aligned with position functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
• Analytical skills
• Ability to respond appropriately to unpredictable situations and diverse patient populations
• Ability to work autonomously and as a team
• Capable of making independent decisions with the use of good critical thinking and problem solving skills
• Knowledge of basic computer functions and Microsoft Office applications
• Ability to multi-task
• Ability to serve patients in a friendly and efficient manner
• Ability to perform basic math functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
  
  

Preferred Qualifications

• Familiar with medical terminology
  
  

Cognitive and Mental Demands

Time Awareness - Continuous

Writing - Continuous

Initiation of Work - Continuous

Memory - Continuous

Receptiveness to Change - Frequent

Reasoning - Continuous

Required Sequences in Work - Occasional

Problem Solving - Continuous

Attentiveness Duration - Continuous

Social Interactions - Continuous

Mathematical Aptitude - Frequent

Conflict Management - Continuous

Reading - Continuous

Detail Oriented - Continuous

Link to Employee Health Physical Demands

Compensation

Many factors are taken into consideration when determining compensation such as: the requirements of the position, experience, education, knowledge, and skills along with location and internal equity. Pay listed does not include any shift, weekend, or other differentials.

Benefits

Ridgeview strives to provide comprehensive and market competitive benefits to meet the needs of our employees and their families. Click here to view the benefits available.