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Patient Account Representative II/Biller

Company: Eskenazi Health
Location: Indianapolis
Posted on: January 16, 2022

Job Description:

Division:Eskenazi Health Sub-Division: Hospital Req ID: 10669Schedule: Full Time Shift: DaysEskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.FLSA StatusNon-ExemptJob Role SummaryThe Patient Account Representative II/Biller provides timely and accurate billing to facilitate optimized reimbursement, research and performance improvement initiatives. This includes the verification of billing data for accuracy and completeness, following regulatory requirements, and in order to resolve edits or exceptions detected during system processing of the claim in the patient accounting system, claim editing system or the payer by reviewing the medical record, facility protocol, other applicable documentation, and the understanding of payer denials, appeals process, and credit balances.Essential Functions and ResponsibilitiesProactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health's values of Professionalism, Respect, Innovation, Development and ExcellenceResponsible for working assigned work queues based on payer and dollar amount to include credit balancesCompletes payer appeals based on underpayment, timely filing, medical necessity and prior authorizations for low dollar hospital accountsResponsible for resolving claim edits for low dollar hospital accounts while adhering to payer guidelines and regulations Takes a leadership role on special projects, including providing coverage for team members who are out of the office. Makes phone calls to patients and insurance companies to obtain information required to resolve patient accountsServes as a resource to other departments to resolve problems and expedite billing and collection processesKeeps up to date on account billing and collection rules and regulations, contract terms and conditions with regards to timely filing and service pre-certifications and authorizationsResponsible for identifying and trending payer rejections and denials; implements system process improvements to prevent future rejections and denialsCompletes Payer Correspondence Work Queues using first in first out (FIFO) method for assigned payer and account balanceAnswers e-mails and voicemails in a timely mannerParticipates in monthly staff meetings to educate new payer habits and etc. as neededJob RequirementsAssociate degree in business-related field preferredTwo years in a medical billing environment may be accepted in lieu of education Previous training in medical practice software, coding and insurance filingKnowledge, Skills & AbilitiesWorking knowledge of Epic, AdvancedMD, STAR, OnBase, Internet Explorer, Windows and other PC applications as required and necessary for job assignmentsAbility to utilize support systems such as Onbase, nThrive, and other software applicationsExcellent verbal, written and organizational skillsMust be detail-oriented with the ability to multitask due to the large volume of accounts being worked at one timeAbility to complete tasks within given timeframes, remaining productive and goal-orientedDemonstrates excellent problem-solving skills to research issues with accounts, holds and claimsAbility to troubleshoot errors and resolve accounts within a reasonable amount of timeAbility to function effectively as a team member and respond to changes in work processes, leadership, and systems in a constructive mannerKnowledge of correct charge entry, procedure and diagnosis coding, and medical necessity linkageAbility to use computer 10-key entry and operate a calculatorKnowledge and understanding of medical terminology and human anatomySignificant knowledge of procedure and diagnosis codingKnowledge of specific laws and regulations for Medicare, Medicaid and other third-party payersAbility to communicate effectively and clearlyAbility to meet production and accuracy benchmarks and goals as determined by ManagementAbility to function effectively within system and software applicationsAbility to plan, analyze, problem-solve, organize and prioritize workAccredited by The Joint Commission and named one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America's best midsize employers' Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care - Center of Excellence in Women's Health, just to name a few.Nearest Major Market: Indianapolis

Keywords: Eskenazi Health, Indianapolis , Patient Account Representative II/Biller, Other , Indianapolis, Indiana

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