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Patient Account Representative | Account Representative in Customer Service Job at Gateway Regiona1

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Patient Account Representative

Location:
Granite City, IL
Description:

We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities. WHAT WE OFFER Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from. Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time). Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance. Job Objective : Under the supervision of the Director of Revenue Cycle, or designee, performs patient account insurance follow-up, credit balance review and resolution, keeping the hospital's accounts receivable as accurate as possible. Duties and Responsibilities: Insurance Follow-up, as assigned Review claims on-line as offered by individual payors to ensure timely processing Contact insurance carriers by phone regarding outstanding balances, as needed Resubmit claims to insurance carriers, as needed File appeals on technical denials and/or claim disputes, as needed Validate accounts for accurate payments, discounts, and contractual adjustments, correcting them, as needed Reply to insurance carrier correspondence in a timely matter Answer in-coming calls resolving insurance issues in a timely matter Credit Balance Process and Review, as assigned Review all credit balance accounts for incorrect contractual adjustments, correcting them as needed. Respond in writing to insurance companies' refund requests in a timely matter to avoid inappropriate recoupments. Non-Essential Duties: Assist with other duties as assigned, within skill sets and abilities Knowledge Working knowledge of HMO, PPO, Commercial, and Workers' Compensation reimbursement Working knowledge of Managed Care contract language and interpretation Education High School graduate or equivalent Experience Minimum 1-year previous Commercial, HMO, PPO, and Workers Compensation billing and/or Insurance follow-up experience Will consider 2-years recent acute care hospital Business Office experience
Company:
Gateway Regional Medical Center
Posted:
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More About this Listing: Patient Account Representative
Patient Account Representative is a Customer Service Account Representative Job at Gateway Regional Medical Center located in Granite City IL. Find other listings like Patient Account Representative by searching Oodle for Customer Service Account Representative Jobs.