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Hours Full-time, Part-time
Location Independence, Ohio

About this job

Pat Accts Representative

Reference Title

HR Use Only: Patient Accounts Representative Independence

Hospital: Main Campus Non-Exempt

Facility: CC Business Operations Ctr

Department: Cchs Rcm Admin

Job Code: B1504W

Pay Grade: 8

Schedule: Full Time

Shift: Days

Hours: 8am - 4:30pm

Job Details: - High School Diploma or equivalent Required.

JOB SUMMARY : Researches, analyzes and reconciles patient account receivables, refunds, claims processing, patient statements and revenue cycle management.Processes claims patient statements including claims generation, coding, data entry, edits and follow-up.Maintains and applies knowledge of current requirements relative to managed care contracts, Medicare, Medicaid, Workman's Compensation, and departmental policies regarding uninsured payers and discounts.Evaluates accounts and prepares adjustments to refund payments and correct discrepancies as necessary.Service as a primary resource for responding to patient/payer inquiries regarding account balances and claim status. Assists with orienting, training and mentoring team members.Other duties as assigned.

EDUCATION: High school diploma or equivalent.

LICENSURE/CERTIFICATION/REGISTRATION: Coding Certification preferred.

COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

REQUIRED EXPERIENCE: A minimum of 2 years of experience in patient billing or related area.

PHYSICAL REQUIREMENTS: PERSONAL PROTECTIVE EQUIPMENT: Follows standard precautions using personal protective equipment as required.

MEDICAL STAFF APPROVAL: No

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Category: Clerical/Administrative Support

HR Use Only: 900000808131