Patient Accounts Representative
Saint Alphonsus Health System - Boise, ID

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High School/GED
  • The Patient Account Representative works in a team environment and is responsible to efficiently process claims and payments to ensure an accurate and timely revenue cycle. The core responsibilities will include: reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed. Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results by accurately documenting in the appropriate software systems. The Billing Specialist creates a positive experience for the patient and family members by addressing their billing related questions. High school graduate or GED equivalent. Three years experience in a medical office billing setting is preferred.Understanding of various medical claims formats.Working knowledge in medical terminology, CPT and ICD-9 coding.Knowledge of payer contracts and reimbursement.Basic knowledge of billing regulations for payers.Excellent verbal and written communication skills.Problem identification and problem solving skills.Willingness to participate and attend off site meetings/seminars.Good customer service oriented attitude/behavior.Polite and courteous speaking manner and excellent telephone etiquette.Proficiency in computer skills which include Word, Excel, keyboarding skills and 10-key.Detail oriented with the ability to complete tasks in a timely manner.Ability to work well as a team member.Must be able to remain calm with multiple interruptions and demands. The ability to multitask is preferred

    Neuro surgery billing experience preferred.