Patient Acct Rep Level II - #19504182

Regional Medical Center of Memphis


Date: Dec 26, 2020
City: Memphis, TN
Contract type: Full time
Regional Medical Center of Memphis

JOB SUMMARY AND ESSENTIAL FUNCTIONS:# Responsible for the accurate and timely processing of patient accounts related to billing, collections and reimbursements service for The Regional Medical Center in accordance with PFS standards, policies and procedures.# Responsible for making the required number and acceptable quality of collection calls per day to obtain the required completion rate.# Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission.# Gathers all information necessary to process patient claims.# Ensures that daily productivity standards, billing and re-billing files are met to obtain the required completion rate. # MACHINES OR EQUIPMENT OPERATED:# #General office machines and equipment (multi phone lines, copier, fax, microfilm reader, etc). # JOB REQUIREMENTS: # EDUCATION:# High School diploma or equivalent with related course work.# Post high school education preferred. # EXPERIENCE:# Minimum of two (2) years# experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred) and reimbursement verification and/or refunds for government and/or commercial insurances. General hospital accounts receivable knowledge is required. College education, previous insurance company claims experience and/or health care billing experience may be considered in lieu of hospital experience. # Preferred EXPERIENCE:# Min 2 years# experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred) Knowledge of UB-04 Claim Form ( general understanding of different codes present on a claim form) Ability to understand IP and OP payment methodologies Familiar with insurance reimbursement contractual language # # PHYSICAL DEMANDS:## High volume data entry requires prolonged sitting, manual dexterity and visual acuity.# Requires concentration and constant technical attention to accuracy and details for extended periods of time.


JOB SUMMARY AND ESSENTIAL FUNCTIONS: Responsible for the accurate and timely processing of patient accounts related to billing, collections and reimbursements service for The Regional Medical Center in accordance with PFS standards, policies and procedures. Responsible for making the required number and acceptable quality of collection calls per day to obtain the required completion rate. Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission. Gathers all information necessary to process patient claims. Ensures that daily productivity standards, billing and re-billing files are met to obtain the required completion rate.


MACHINES OR EQUIPMENT OPERATED: General office machines and equipment (multi phone lines, copier, fax, microfilm reader, etc).


JOB REQUIREMENTS:


EDUCATION: High School diploma or equivalent with related course work. Post high school education preferred.


EXPERIENCE: Minimum of two (2) years' experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred) and reimbursement verification and/or refunds for government and/or commercial insurances. General hospital accounts receivable knowledge is required. College education, previous insurance company claims experience and/or health care billing experience may be considered in lieu of hospital experience.


Preferred EXPERIENCE:



  • Min 2 years' experience in facility reimbursement (hospital billing, insurance collection, hospital payment validation preferred)

  • Knowledge of UB-04 Claim Form ( general understanding of different codes present on a claim form)

  • Ability to understand IP and OP payment methodologies

  • Familiar with insurance reimbursement contractual language


PHYSICAL DEMANDS: High volume data entry requires prolonged sitting, manual dexterity and visual acuity. Requires concentration and constant technical attention to accuracy and details for extended periods of time.

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