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Patient Account Specialist - TEMP TO HIRE, (J/O #5001)

Location : Texarkana, TX
Job Type : Temp/Contract to Direct
Reference Code : 8810
Hours : Full Time
Required Education : High School Graduate or GED
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Clerical

Job Description :



Reimbursement Posting Member - TEMP TO HIRE, (J/O #5001) M-F /8-5; $12 - $20 per hour (DOE).  Team member will:

Performs routine audits of assigned individual accounts to resolve all discrepancies in account balances – credit balances, underpayments, inaccurate contractual allowances and performs necessary actions to resolve the account balance.

Other responsibilities include reviewing patients billing for accuracy, knowledge of Medicare & Medicaid a MUST.

Performs daily collections activities which would include but are not limited to performing on line account status checks.

Reviews credit balances of assigned accounts; determines action needed and takes appropriate action to clear the credit balance including but not limited to rebills, request for refund check, payer contact to determine source of credit balance and method of return. Clearly documents account as to actions.

Responds to claim denials from payers such as inability to identify the patient, coordination of benefits; non-covered services; past filing deadlines and ensures all information is provided to the follow up team that is required to process the claim by forwarding appropriate documents to relevant recipients.

Documents all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others.

Performs routine audits of assigned individual accounts to resolve all discrepancies in account balances – credit balances, underpayments, inaccurate contractual allowances and performs necessary actions to resolve the account balance.

Informs the supervisor of any problems or changes in payer requirements and exercises independent judgment to analyze and report repetitive denials so that corrective actions can be taken.

Achieves established productivity standard as determined by the Collections and Denial Management Supervisor. Tracks productivity and provides cumulative reports on a daily, weekly or monthly basis, as required by supervisor.

Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact patient account collections.

Adheres to internal controls for applicable state/federal laws, and the program requirements of accreditation agencies and federal, state and private health plans.

Seeks advice and guidance as necessary to ensure proper understanding.

Remain flexible for cross training.

Occasionally take on tasks outside the normal scope of practice.

Observe, identify, and do what is needed to move us forward in a way that best represents who we are as an organization.

Other duties as needed to help drive to our vision, fulfill our mission, and abide by our Organization’s Values.

Additional Knowledge, Skills and Abilities

Handles telephone information with courtesy, accuracy, and respect for confidentiality; receives information and distributes messages appropriately

Consistently communicates appropriately with staff and responds to requests for assistance promptly.

Provides accurate communication in verbal and written form. Listens effectively.

Communicates effectively with supervisor, including but not limited to changes of operation.

Reports to supervisor regularly on the status of ongoing projects.

Follows proper chain of command appropriately to resolve problems and concerns

Provides positive and productive support to the team and promotes teamwork.

Is kind, courteous, respectful and professional in all interactions with all personnel at all levels.

Benefits after roll over include: Health, Dental, Vision, Life, Accident, Cancer L/T & S/T Disability, & Benefit Time-off.

Submit your employment application using your smart phone or PC to apply at https://jobs.redcarpetemp.com/signup or visit our office at 221 Laurel Street, Texarkana, AR 71854 & use one of our courtesy PCs.  Call 870-772-4039 to ensure availability.  Offer of Employment contingent on passing Interview Process, Background Check, & Pre-employment Drug Test.
Required Qualifications :

Job qualifications

  • High School diploma or GED

  • Familiarity with healthcare medical terminology

  • Basic knowledge in the reimbursement guidelines for payers

  • Good communication and interpersonal skills

  • Basic knowledge of PC and Microsoft Office Suite use and application and use of internet

  • Knowledge of patient accounting systems

  • Understands and complies with HIPAA and Protected Health Information rules and regulations

Skills :
Collections E-Mail Communication General Data Entry Medicaid Insurance Medical (Health) Insurance Medical Billing Medical Coding Medical Terminology Medicare Insurance Microsoft EXCEL Microsoft Internet Explorer Microsoft Outlook Microsoft Word Multiline Phones Windows 7 Windows 8
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