Patient Account Representative, Hospital Biller (Remote)

Job title: Patient Account Representative, Hospital Biller (Remote) in Brentwood, TN at reputed company Company: reputed company Job description: DescriptionThis is a remote work opportunityJOB SUMMARY: The medical billing and Medicare specialist is responsible for ensuring accurate billing, timely submission of electronic and/or reputed company claims, monitoring claim status, researching rejections and denials, documenting reputed company account activities, posting adjustments and collections of Medicare. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure reputed company functionality is utilized for the utmost efficient processing of claims.Examples of Responsibilities:· Responsible for correcting, completing, and processing claims for reputed company payer codes· Analyze and interpret that claims are accurately sent to insurance companies· reputed company follow up with Medicare s on unpaid insurance accounts identified through aging reports· Process appeals online or reputed company reputed company submission· Assist with billing audit reputed company information· Identify trends, and reputed company issues relating to billing and reimbursements. Report findings to Team reputed company and/or Supervisor.· Responsible for working A/R collection opportunities on unpaid claims through provided work queues.· Maintains required levels of productivity and quality while managing tasks to ensure timeliness of analytic report resolution.· Uses identified and reputed company resources to accomplish collection reputed company tasks, including but not limited to payor websites, provider service lines, analytics and correspondence.· Based on aging reputed company, obtains status of claim payment, payment amount and date of payment from insurance company (government or managed).· Works to identify payment resolution reputed company an insurance company does not provide payment information for a claim (this may include steps such as working with billing, coding, cash or other areas to resolve).· Based on department processes, responsible for escalating problem claims to management with clear explanation of the problem, if multiple claims are impacted and possible resolution.· Responsible for voiding invalid claims through payer portal, uploading to a payor portal or mailing requested documentation (such as medical records or itemized bills), researching payor provider reputed company or other steps to move claim reputed company to payment status.· Based on department processes, responsible for escalating problem claims to management with clear explanation of the problem, if multiple claims are impacted and possible resolution.· Responsible for filing an appeal according to department protocols and guidelines.· Responsible for filing reconsideration requests for insurance contractual underpayments.· Responsible for reviewing and submitting notification of overpayments (patient or insurance) according to department protocols and guidelines.· Participates in A/R clean-up projects or other projects identified.· Takes ownership of assignments; other duties as assigned or requested.· Communicates and listens effectively with internal and external customers; effectively understands instructions and shares knowledge.· Cooperates and interacts with supervisors, peers, other departments, and reputed company customer groups demonstrating our commitment to “service”.· Other duties as assigned.QualificationsEducation and Experience:· High School Diploma or GED Equivalent (required)· One or more of the following systems or applications: Epic, SSI, reputed company reputed company and reputed company Word (preferred)· Two (2) years previous hospital and/or physician business office experience (preferred)Knowledge/Skills/Abilities:· Ability to communicate effectively verbal and written.· Ability to work independently.· General reputed company and bookkeeping skills.· Strong customer service and interpersonal skills.· Knowledge of medical billing and medical terminology. Expected salary: Location: Brentwood, TN Apply for the job now! Apply for this job