Patient Account Representative; Medical Biller

Position: Patient Account Representative (Medical Biller) (Full Time)
## Patient Account Representative (Medical Biller) (Full Time)### Category:

Administrative/Clerical###

Schedule:

Full-time###

Description:

The Patient Representative is responsible for accurate and timely insurance billing. This position will edit and release claims daily from Epremis.

Ability to read and accurately interpret Explanation of Benefits provided by various payers. Must be able to communicate clearly with Insurance and obtain meaningful resolution.

Responsible for accurate account balances. Balances should correspond to the information given on the EOB. Must be able to explain account balance to the general public with compassion and precision.

Responsible for reviewing and working aged trial balance. A minimum of 25 accounts will be worked daily from the Aged Receivables.###
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* Minimum qualifications:

*** High school diploma or GED equivalent.
* One year computer training and/or experience. Prior medical/clinic insurance billing experience preferred.
* Strong attention to detail and demonstrated ability to use sound judgment in decision making.
* Excellent organizational skills with demonstrated time management skills. Ability to multi-task and prioritize.
* Ability to handle a high workload volume.
* Ability to communicate effectively both written and verbal.
* Ability to be flexible and demonstrated ability to be adaptable.
* Knowledge of insurance coverage, billing and medical terminology preferred.
* Can operate computer, copy machine, switchboard, phone and fax efficiently.###
** Primary job responsibilities:**#### Patient Representative (Medical Biller)
* Responsible for initial billing for one or more of the following:
Commercial Regence, Government/Workers’ Comp, Medicare, Medicaid, Premera.
* Responsible to know and follow billing instructions by payer/service specific.
* Responsible for follow-up collection procedures to include phone calls, letters, account adjustments, and documentation.
* Verify over payments and process refunds.
* Investigate and resolve claim denials.
* Submit accurate account adjustments.
* Responsible to work a minimum of 25 accounts each day.
* Edit, validate claims in Epremis to be released daily.
* Maintain AR days less than 12% in the 120 aging category.
* Communicate professionally and clearly with patients.
* Other duties as assigned.
** Patient Representative
- Clinic (Medical Biller)
*** Initial billing for all insurances and private pays for clinic visits.
* Responsible to know and follow billing instructions by payer/service specific.
* Responsible for follow-up procedures for collection to include phone calls, letters, account adjustments and documentation.
* Verify over payments and process refunds.
* Investigate and resolve claim denials.
* Submit accurate account adjustments.
* Responsible to work a minimum of 25 accounts each day.
* Edit, validate claims in Epremis to be released daily.
* Maintain AR days less than 12% in the 120 aging category.
* Communicate professionally and clearly with patients.
* Other Duties as assigned.###
** Standard for portrayal of mission and values:
*** Employee demonstrates and fosters the Lewis County Hospital District No. 1 core values of - One team, on Mission. Go out of your way, to brighten someone's day. Own it, embrace it. Care like crazy. Motivate, elevate, appreciate. Know the way, show the way, ease the way. Find joy along the way.
* Employee demonstrates and fosters the mission of Lewis County Hospital District No. 1 to foster trust and nurture a healthy community.
* Is cooperative and supportive to others within the department and hospital providing care and services.
* Treats individuals including patients, co-workers, supervisors, management, patient families, physicians, volunteers, visitors and others with respect, dignity and fairness.
* Behaves professionally and ethically in all interactions with patients, co-workers, supervisors, management, patients' families, physicians volunteers, and others.
* Is consistently courteous to patients, co-workers, supervisors, management, patient’s families, physicians, volunteers and others; greets individuals and provides assistance and direction in an attentive and helpful manner.
*…