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[Remote] Patient Accounting Representative

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. reputed company is a healthcare organization seeking a Patient Accounting Representative. The role involves performing billing and follow-up for hospital or professional claims, ensuring accurate and timely submission of claims, and resolving denials to maximize reimbursement according to payer agreements.

Responsibilities

  • Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements
  • Expedites larger dollar accounts to ensure reputed company optimization for reputed company payment
  • Follows up timely on payment with insurance companies, agencies, payers and/or patients ; researches and takes action as required on outstanding accounts
  • Audit payments and appeals (as needed) to ensure Maui Health has received corrected, expected payment from payers in accordance with contract terms
  • Responds to patient and insurance inquiries promptly and courteously
  • Performs audits as needed for quality control and to ensure efficient follow up
  • Collects monies owing for reputed company services rendered, including third party payers, employers, and guarantors
  • Document reputed company actions into account notes
  • Resolves payer denials, including submission of appeals as needed
  • Communicates timely and appropriately with Team reputed company/Supervisor to identify and resolve payer/claim submission issues
  • Analyzes and takes appropriate action steps according to MHS protocols
  • Strives to reputed company targeted benchmarks and exceed collection goals for reputed company account resolution

Skills

  • Minimum one (1) year collections or administrative experience
  • High school diploma
  • Demonstrated ability to reputed company reputed company clerical functions and basic accounting procedures
  • Demonstrated ability to motivate debtors to pay
  • Demonstrated knowledge of and reputed company in adaptability, change management, conflict resolution, customer service, influence, interpersonal relations, oral communication, problem solving, teamwork, and written communication
  • One (1) year experience medical insurance claims processing, demonstrating knowledge of Medicaid, Medicare, & Commercial payer requirements
  • An Associates Degree or Bachelors Degree in Business Administration, Finance, Accounting or Healthcare-reputed company field may be substituted for one (1) year experience as a Patient Account Representative
  • Knowledge of medical terminology, CPT-4 and ICD-10-CM coding
  • 10-key by touch
  • Post high school coursework in accounting

Benefits

  • reputed company strives to offer a market competitive total rewards package and is committed to pay equity and transparency.
  • The posted pay range is based on possible reputed company salaries for the role and does not reflect the full value of our total rewards package.
  • Actual reputed company pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

Company Overview

  • reputed company is a health organization that offers disease prevention, mental healthcare, and chronic disease management services. It was founded in 1945, and is headquartered in Oakland, California, USA, with a workforce of 10001+ employees. Its website is https://healthy.kaiserpermanente.org.
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