Patient Account Representative (Follow-Up Specialist - Full Time) Job at Sheppard Pratt
*Opportunity’s at both Frederick and Towson available*
As a Patient Accounts Representative – Follow-Up Specialist, you:
- Are responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Blue Cross and Blue Shield, Commercial/Managed Care, Tri-Care, Worker's Compensation, Schools, DSS/DJS, and Self-Pay.
- Use computerized patient management and electronic imaging systems to initiate and update patient accounts with data required for preparation of third-party claims and client statements, and adjust third-party/self-pay data.
- Prepare and maintain required documentation.
- Effectively and efficiently collect from third-party payers, file claims, perform prorations, and make recommendations regarding delinquent accounts.
- Analyze, review and interpret third-party benefit claims, charges, payments and Financial Assistance documentation; debit and credit patient accounts; determine proper percentages for proration and perform calculations to properly calculate discounts for third party and patient bills.
- The vast majority of this position involves interaction with insurance companies with only a very small percentage involving interaction with clinicians and patients.
Requires:
- High School diploma
- 6 months of experience in related billing and health insurance work. Follow-up and Medicaid experience strongly preferred.
- Must have knowledge of billing practices, procedures, collections, third-party payer and Universal Billing requirements, and third-party reimbursement procedures.
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