PATIENT ACCOUNT REPRESENTATIVE - Ref Lab billing and Follow-up Unit
Applicants must have prior insurance billing and follow-up experience and customer service experience would be helpful. The applicant must have a basic knowledge of insurance billing. Applicant must understand the HBOC application as well as have the necessary technical skills including account reconciliation, to include credit balances, needed for billing and related processes. Applicant must have a working knowledge of LCD's, NCD's and modifiers required for accurate claims processing. Applicants must have the ability to compose grammatically correct correspondence as well as an understanding of Microsoft Office applications. Qualified applicants must have the ability to work in a high volume, fast paced environment and the willingness to assist with the continued development of the unit. Highly developed customer service and interpersonal skills are required. Good telephone technique is expected as is the willingness to attend onsite customer service training sessions. Demonstrated knowledge of and the technical skills to use the following applications: HBOC, Cirius, Excel, Website based insurance inquiry systems, EPIC and ECC.
Daily job functions will include but not be limited to the daily billing of primary and secondary claims and insurance follow up related to Reference Lab. Insurance billing and follow-up background is desired. All activities involved in the process of timely and accurate insurance billing as well as timely follow up and account management will be incorporated into this position. Additional billing functions would include resolution of accounts in RTP status, working front end carrier rejects and support services for billing functions. Additional follow up responsibilities will include resolution of credit balances, resolution of incoming correspondence, handling occasional customer service calls, and proactive follow up with insurance carriers.
The employee is responsible for the following in assigned areas: billing for medium and low dollar claims, daily reconciliation, registration, auditing, and collection of information. Responds to phone inquiries and follows up to obtain information requested.
High School Grad or Equivalent
Required: None, unless noted in the “Other” section below
Preferred: Billing - 1 year
None, unless noted in the “Other” section below
Required: Communication, Complex Problem Solving, Mathematics, Microsoft Excel, Microsoft Word, Reading Comprehension, Service Orientation
Preferred: None, unless noted in the “Other” section below