Account Representative-Insurance Collections Specialist - FT - Baptist M&S Imaging

Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines

MINIMUM EXPERIENCE: 2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT

PREFERRED EXPERIENCE: 3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish)

Shift: Days

Hours: 8am to 5pm

General Functions:

·       Demonstrates required skills for communication with various health insurance providers

·       Possesses moderate billing knowledge, with the ability to perform remittance review and analysis

·       Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals

·       Identifies late charges and credit corrections

·       Adds insurance profiles

·       Communicates appeals to insurance company regarding denials

• Handles discounts, clinical pre-certification issues

Department/Business Unit Functions:

·       Verifies eligibility from various insurance agencies

·       Retrieves patient accounts

·       Addresses letters from Medicare, works with prompt pay issues

·       Makes insurance follow-up calls

·       Performs corrections and updates to the insurance master

·       Files, faxes, copies and performs other clerical duties

·       Performs data entry, work processing and correspondence duties

·       Performs special projects as assigned

·       Utilizes resources efficiently and effectively

·       Maintains safe environment

• Participates in Performance Improvement activities