What are the responsibilities and job description for the Patient Accounting Representative - Marshall Pediatrics position at Marshall Health?
Job Responsibilities :
- Reviews and processes refund requests.
- Utilizes the necessary electronic and manual systems to identify and capture source documentation needed for the coding and generation of provider charges / claims.
- Performs the data entry role for all necessary billing and claims related functions including, but not limited to charge entry and payment posting.
- Answers phone calls and / or inquiries from patients, insurance carriers or other parties to assist in the submission, payment or clarification of claims or billing related issues.
- Carries out routine requests for information from any number of sources such as the practice management system, archived or scanned billing documents, or supporting documentation for prior charges.
- Provides various reports, both monthly and ad-hoc, as defined and requested utilized either the practice management system or an available external reporting solution.
- Performs the precertification process for scheduled procedures as necessary, including communication of any balances due to the patient.
- Works with Corporate and Department management to develop, maintain, and follow policies and procedures relating to and in support of the Department's and Corporation's Compliance Program for Professional Fee Reimbursement.
- Performs other duties as assigned or requested.
Education : High school diploma or GED.
Experience : Minimum of one year billing experience in a health care organization, with a preference toward candidates with experience and knowledge of the claim denial / accounts receivable process. Working knowledge of Cerner Practice Management software is a plus.
Internal applicants must call HR at ext. 11653 to determine eligibility before applying.
