Patient Accounts Specialist I - Medicare

Job Title

General Summary of Position

Primary Duties and Responsibilities

Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.

Maintains daily performance benchmarks as it applies to interpreting and evaluating appeals to include follow up with payers. Completes coding report updates within the standard set in a timely manner to begin the daily workflow process. Responsible for reconciliation of reports to SMS and information that was posted.

Maintains departmental QA standard within established error rate.

Meets team specific benchmark as it applies to completed Tracking Forms forwarded to the Operational Desk after completion on a daily basis, >

$10K, >

$20K, AR15, AR30, and AR45

Minimum Qualifications

Education

High School Diploma or GED required

Experience

1-2 years experience in patient accounting, accounts receivable or related healthcare field required or an equivalent combination of experience and college education in accounting, finance or healthcare administration required

Knowledge, Skills, and Abilities

Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and / or collection process.

Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).

Requires some knowledge of medical terminology and CPT / ICD-10 coding.

Excellent communication, analytical, interpersonal, and organizational skills.

Proficient uses of hospital registration and / or billing systems and personal computers as well as Microsoft Excel and Word applications.

Ability to type 35 WPM.

This position has a hiring range of $18.70 - $32.72