Patient Accounting Representative III

📋 Description

• Accountable for prompt and accurate actions on accounts pertaining to designated responsibilities.

• Adheres to governmental and managed care regulations and guidelines.

• Achieves departmental objectives alongside productivity and quality benchmarks.

• Participates actively in training and educational initiatives.

• Manages the team's workload and daily task assignments.

• Acts as a resource and provides training to team members.

• Delivers staff training or education tailored to departmental workflows.

• Leads the team in the absence of the supervisor or as assigned.

• Responsible for additional duties or projects as designated by Management.

• Implements billing regulations to investigate charges eligible for third-party health insurance reimbursements.

• Records payments, refunds, and adjustments to accounts within the specified timeframe.

• Completes assigned work queues within the established timelines.

• Evaluates Explanation of Benefits for inaccuracies or inconsistencies in reimbursement.

• Communicates actions taken on accounts and verifies or updates insurance information as instructed.

⛳️ Requirements

• High School Diploma or GED equivalent.

• Minimum of 3 years' experience in payment posting, claims processing, denials, customer service, insurance processing, billing, or collections.

• Associate's Degree in a relevant field from an accredited institution (preferred).

• At least 4 years of experience with Epic systems (preferred).

🏝️ Benefits

• Qualified candidates are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.

• The health system offers reasonable accommodations to qualified individuals with disabilities.