1+ months

Patient Accounting Representative - (98198)

Universal Health Services
Jamaica Plain, MA 02130
  • Job Code
    98198

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Billing:
Accurately prepares bills daily and submits them timely via paper or Electronically. Verifies receipt of bill to avoid timely filing denials. Reviews patient folders for completeness of patient insurance information and proper signatures. Verifies that computerized insurance documentation is up to date and accurate continuously throughout the accounts receivable process. Consistently completes edits on a daily basis. Performs end of day report functions, and performs purges every 90 days.

Collection:
Prioritizes follow-up on accounts as appropriate, but no less than every 30 days. Reviews EOBs for proper payment, documents any denials and resolves denied amounts on a timely basis. Ensures bad debts and denials are presented for write-off timely, with all completed supporting documentation.

Documentation Accuracy:
Maintains documentation on all third party billing contract rates and procedures. Ensures proper contractual discounts and codes are used to net accounts receivable. Documents notes completely and concisely regarding follow up activity, while keeping organized paper documentation. Performs other duties or tasks as assigned.

Financial Counseling:
Provides benefit education to patients, parent and/or guarantors, effectively communicates insurance, claims or patients self-pay responsibilities to patient, determines accurate third party and self-pay liability, requests upfront collections of self-pay deposits from patients both inpatient and outpatient, ensures all patients will be financially secured as soon as possible, but no later than at discharge. Provides assistance to indigent patients in completing and submitting paperwork for Masshealth, creates agreements with patients that are not financially able to pay off account in full, but can pay set amount monthly until balance is paid in full. Regularly follows up with responsible party on incomplete documentation, COB forms, patient balances and/or additional information requests related to financial responsibility counseling or insurance verification.

Charge Entry:
This position will accumulate patient charges, input accounting adjustments, and input admissions into two (2) facilities. Correct any input errors and update financial information. Maintain out-patient census by creating and updating excel spreadsheet for each individual program and among multiple location. Will maintain inpatient census grid by verifying unit census. Documents notes completely and concisely regarding follow up activity, while keeping organized paper documentation.

Cash Posting:
This position will Reviews EOB's to confirm third party payments and patient liability. Post cash/EFT/CC payments and appropriately adjudicate the AR. Contact payers for any underpayment discrepancy(s). Performs collection follow up on insurance claims. Prioritizes follow-up on accounts using the ACTs system and ACTs reports. Documents collection activity on each account. Maintains documentation on all third party billing contract rates and procedures. Ensures proper contractual discounts and codes are used to net accounts receivable.

Denial Measures:
This position will develops workable solutions for any problems identified through the billing cycle. Enters all patient denial information into MIDAS. Communicates with Utilization Review staff on denials and certification issues. Follows up with UR for timely resolution.

Job Requirements

::The following are the minimum job requirements for the Billing Specialist position: Education: High school diploma or equivalent. Associates or Bachelors degree. With Minimum 2yrs experience in health care billing.

Categories

Posted: 2019-11-07 Expires: 2020-03-19

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Patient Accounting Representative - (98198)

Universal Health Services
Jamaica Plain, MA 02130

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