Knoxville Hospital and Clinics Hiring For Patient Account Representative Full Time at Knoxville, IA, United States Full Time

Job Description

The Patient Account Representative is responsible for accurately researching, verifying, and updating patient’s insurance benefit information (eligibility) in the electronic medical records (EMR) system, as necessary to ensure that KHC is paid in a timely fashion by insurance payers for all medical services rendered to their members. In addition, the incumbent must possess the necessary interpersonal skills needed to provide superior service levels to both internal and external customers.Essential Functions

• Reviews, corrects as necessary and submits/re-submits medical insurance claims of all types to various governmental programs and private insurance companies through the use of a computerized software platform.
• Thoroughly documents in the “notes” section of the patient accounting system any and all actions/occurrences pertaining to activity on assigned patient(s) financial records.
• Completes balance transfers, conducts claims research, offers information/support to other peripheral partners in the department/hospital to assist in resolving questions/issues relating to patient accounts, performs write-off activities, processes late charges, resolves credit balances, files claims appeals, and keeps current on regulatory requirements for all insurance payers.
• Prepares and submits patient refund forms and resolves credit balances in accordance with hospital policy.
• Interacts with representatives of various governmental and private insurance payers via telephone, databases, websites, written correspondence etc. to address/resolve medical claims related issues.
• Actively supports the Customer Service Department in resolving customer queries, complaints and requests when called upon.
• Performs other duties as assigned by the Department Head based on the priorities and needs of the business, as applicable.

Job Requirements

• High School graduate or equivalent required; Associates or Bachelor’s Degree in Business or Accounting preferred.
• Minimum of one (1) year claims processing and account follow-up experience in a hospital and/or clinic setting utilizing an electronic claims processing system preferred.
• Basic knowledge of Federal, State and third party payers claims processing requirements including, but not limited to; determining eligibility, obtaining necessary authorizations, hard copy submissions and various filing periods to ensure timely reimbursements.
• Must be results-oriented, technically strong with good interpersonal skills, able to listen and follow directions consistently, work independently with minimal supervision, assist fellow team members when called upon, possess good oral and written communication skills in English, be able to multi task and maintain a high level of accuracy, completeness and timeliness.
• Proficient in the use of a PC and other general office equipment.
• Knowledge of MS Office software, including WORD, EXCEL, and OUTLOOK.
• Required to complete all annual competency training and maintain license and/or certification.

This is a full time position with benefits offered such as medical, dental, vision, life and disability, paid time off and a 403b retirement plan.Job Type: Full-timeBenefits:

• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift

Work Location:

• One location