Patient Accounts Representative - EPIC Experience

Boston, MA | Direct Hire

Post Date: 06/13/2017 Job ID: 78787 Specialty: Accounting & Finance

A leading hospital in Westwood, MA is seeking a Patient Accounts Representative to join their team. This role pays up to $41K-45K and is a lucrative opportunity to make lasting connections with a reputable medical facility. Apply today!

Responsibilities for the Patient Accounts Representative:
  • Collect, verify, and record all demographic information required for financial pre-processing of patients
  • Verify insurance eligibility utilizing available technologies, payer websites, or by phone contact with third party payers
  • Ensure that the correct insurance company name, address, plan, and filing order are recorded in the patient accounting system
  • Utilize payer exception reports to update coverage / PCP information
  • Contact clinical departments and PCP offices to secure referrals and enter into patient accounting system
  • Document all actions taken on account with clear and concise account notes
  • Prepare and submit accurate insurance claims to payer within proper timeframes
  • Accept, reject, and reconcile claim runs daily
  • Ensure prompt resolution of outstanding insurance claims
  • Work payer scrubber and denial reports daily
  • Review claims for accuracy and correct errors as needed
  • Collaborate with referral/authorization staff to resolve issues
  • Update demographic and coverage information as needed
  • Resolve claims processing issues with 3rd party payers and provide all requested information timely; engage patients and family members to resolve claim or insurance issues when needed
  • Provide documentation to have claims processed and paid
  • Research, prepare, and provide 3rd party payer appeals
  • Request account adjustments in accordance with payer contractual agreements
  • Prepare reports as required
  • Monitor and identify trends, denials / claim errors by payer and refer as appropriate
  • Maintain a thorough understanding of 3rd party payer contracts
Requirements for the Patient Accounts Representative:
  • EPIC experience preferred
  • High school level of educational development
  • Previous experience in a medical billing setting, preferably on an automated system
  • Analytical skills to gather and interpret data in situations in which the information or problems are relatively routine
  • Ability to exchange information on factual matters
  • Technology savvy with a strong knowledge working with Microsoft Office
  • Strong organizational skills with great attention to detail
  • Strong multi-tasking and prioritizing skills with the ability to meet deadlines
  • Excellent written and verbal communication skills
  • Strong interpersonal skills with a customer service focus
  • Ability to work independently and as part of a team
  • Must be eligible to work in the U.S. without sponsorship                      

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