What are the responsibilities and job description for the Account Representative-Medical Insurance Collections Specialist - FT - Baptist M&S Imaging Business Office position at USPI?
Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines
MINIMUM EXPERIENCE: 2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT
PREFERRED EXPERIENCE: 3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish)
Shift: Days
Hours: 8am to 5pm
Required Skills:
General Functions:
· Demonstrates required skills for communication with various health insurance providers
· Possesses moderate billing knowledge, with the ability to perform remittance review and analysis
· Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals
· Identifies late charges and credit corrections
· Adds insurance profiles
· Communicates appeals to insurance company regarding denials
- Handles discounts, clinical pre-certification issues
Department/Business Unit Functions:
· Verifies eligibility from various insurance agencies
· Retrieves patient accounts
· Addresses letters from Medicare, works with prompt pay issues
· Makes insurance follow-up calls
· Performs corrections and updates to the insurance master
· Files, faxes, copies and performs other clerical duties
· Performs data entry, work processing and correspondence duties
· Performs special projects as assigned
· Utilizes resources efficiently and effectively
· Maintains safe environment
- Participates in Performance Improvement activities