At White Plains Hospital, you have an opportunity to work side-by-side with some of the most talented people in the world.
We have been widely recognized for our exceptional culture, world-class physicians, Magnet-designated nurses and passionate employees who make a real difference in our community. With tremendous growth opportunities, great benefits, and flexible work schedules, it is no wonder why we are consistently recognized as a Great Place To Work.
Position Summary
The Patient Accounts Representative is responsible for providing various support within the Medical (Hospital Centralized Business) Billing Department. This position involves collecting and managing accounts, following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims when appropriate, assisting in posting cash, adjustments and customer service support. This position will assist as needed all teams within the Business Office to help overall operations and revenue optimization.
Job Responsibilities
Posts payments and reconciles account balances
Processes patient and insurance refunds
Reviews open accounts for account reconciliation and next steps to resolve open balances
Contacts patients and insurance carriers as needed to resolve open balances and account issues
Reviews claims and bill scrubber edits to ensure claims are billed and submitted appropriately
Communicates with ancillary departments and agencies regarding account errors, billing edits, denials and charge issues
Reviews payments for accuracy and appropriate account distribution
References contracts for payment and balance accuracy
Answers calls as needed and provides support to customer service.
Responds to correspondence and emails timely and with accuracy
Posts adjustments as needed and directed to resolve open balances
Reviews and works denials as needed, updates and drafts appeals as needed to carriers to resolve open account balances
Reviews open AR to identify and resolve accounts receivable as well as escalates issues as needed.
Composes and types routine correspondence, memos, letters, etc
Responsible for updating the patient accounts' system with information and notes as needed.
Performs other duties as assigned by management
Responsible for timely completion of projects and tasks as assigned by management and feedback on outcomes
Education, Training, Licensure And Experience Requirements
Minimum Education: High School or GED required
Minimum Experience
2–5 years previous Hospital business office experience required
Ability to type 45wpm
Medical terminology required
Ability to use basic office equipment and Knowledge of CTR computer terminals a plus.
Essential Physical Requirements
Must be able to sit for extended periods of time (3-4hrs). Must be capable of hands and eye coordination. Must be physically able to lift, stand, bend, stoop and walk short distances
Exposure to Hazards
May be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) database and accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS database can also be found at the hospital switchboard, saved on a disc.
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
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