We have an exciting opportunity to join our Revenue Cycle team as Patient Account Representative II - Billing.  This is a remote role supporting two ScionHealth facilities. 

The Patient Account Representative II - Billing prioritizes and completes billing in accordance with departmental policies and procedures within established deadlines for hospital and/or physician claims. Update and document financial data, utilizing excellent customer service skills to contact patients and insurance carriers to ensure accurate reimbursement.  This position will ensure all claims in error will be billed daily.  Must have computer skills with basic knowledge of Microsoft Word, Microsoft Excel, and Microsoft Outlook.  Basic knowledge of general accounting/bookkeeping skills. Adheres to policies, procedures, and regulations to ensure compliance and patient safety.  At a minimum, basic knowledge of hospital and/or physician billing regulations. 

Examples of Responsibilities:

·         Responsible for billing UB and/or HCFA claims using fundamental knowledge of regulatory billing guidelines and insurance company protocols.

·         Responsible for working billing edits and billing rejections designated by system work queues. 

·         Maintains required levels of productivity and quality while managing tasks to ensure timeliness of billing and subsequent collections.

·         Uses identified and known resources to accomplish billing-related tasks, including but not limited to payor websites, provider service lines, analytics and correspondence.

·         Billers will import claims, and work claims daily to ensure that all claims get billed.  Claims will be worked in a timely manner and if necessary, coordinate with other departments to resolve issues preventing the claim from being exported timely and accurately, and ensure secondary claims are billed appropriately (either paper or keyed online for certain thresholds).

·         Participates in A/R clean-up projects or other projects identified.

·         Takes ownership of assignments; and other duties as assigned or requested.

·         Communicates and listens effectively with internal and external customers; effectively understands instructions and shares knowledge.

·         Cooperates and interacts with supervisors, peers, other departments, and all customer groups demonstrating our commitment to ?service?.

·         Provides training to new or existing staff as directed by leadership, when necessary.

·         Works to identify the root cause of billing edits and rejections to help improve efficiencies.

·         Demonstrates leadership qualities and initiative amongst peers and coworkers.

·         Other duties as assigned.

Education and Experience:

·         High School Diploma or GED Equivalent (required)

·         Previous hospital and/or physician billing experience (required)

·         One or more of the following systems or applications:  Epic, SSI, Microsoft Excel, and Microsoft Word (preferred)

Knowledge/Skills/Abilities:

·         Ability to communicate effectively verbal and written.

·         Ability to work independently.

·         General Accounting and bookkeeping skills.

·         Strong customer service and interpersonal skills.

·         Knowledge of medical billing and medical terminology.

About St. Joseph Regional Medical Center

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