Account Representative-Medical Insurance Collections Specialist - FT - Baptist M&S Imaging Business Office

Provide quality, timely, courteous service, and optimum maintenance of patient accounts, including dissemination of information, billing services, follow-up, and collection of accounts receivable, bad debt, governmental, and contract compliance issues/guidelines

MINIMUM EXPERIENCE: 2 years of experience in hospital business office, insurance claims processing, physician office billing and/or hospital admitting and PC/CRT

PREFERRED EXPERIENCE: 3 years recent in hospital business office. Basic medical terminology; working knowledge of third-party payors, federal, state, and local billing regulations; and bilingual (English and Spanish)

Shift: Days

Hours: 8am to 5pm

Required Skills:

General Functions:

• Demonstrates required skills for communication with various health insurance providers
• Possesses moderate billing knowledge, with the ability to perform remittance review and analysis
• Follows-up on secondary insurance billing, Medicaid appeals and denials and commercial appeals
• Identifies late charges and credit corrections
• Adds insurance profiles
• Communicates appeals to insurance company regarding denials
• Handles discounts, clinical pre-certification issues

Department/Business Unit Functions:

• Verifies eligibility from various insurance agencies
• Retrieves patient accounts
• Addresses letters from Medicare, works with prompt pay issues
• Makes insurance follow-up calls
• Performs corrections and updates to the insurance master
• Files, faxes, copies and performs other clerical duties
• Performs data entry, work processing and correspondence duties
• Performs special projects as assigned
• Utilizes resources efficiently and effectively
• Maintains safe environment
• Participates in Performance Improvement activities