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Catholic Health Initiatives Patient Account Rep II - Physician Billing Office in DES MOINES, Iowa

Patient Account Rep II - Physician Billing Office

Location: DES MOINES, IOWA, UNITED STATES

Requisition #: 2020-R0279177

Post Date: Mar 26, 2020

Position Type: Regular

Scheduled Hours per 2 week Pay Period: 80

Primary Location: IA > DES MOINES > MERCY MEDICAL CENTER

JOB SUMMARY / PURPOSE:

Reviews and researches all unpaid claims. Contacts insurance carriers, patients, and clinics to resolve claim issues. Corrects accounts as necessary and resubmits claims according to the insurance company guidelines.

ESSENTIAL KEY JOB RESPONSIBILITIES:

• Demonstrates written, verbal, and nonverbal communication that is consistent with the Mercy Mission, Values and I Will Statements to all patients, families, visitors, medical staff, colleagues, vendors and other internal and external customers.

• Promotes the Spirit of Mercy by displaying an attitude and behaviors that are consistent with the Mercy Mission, Value and I Will Statements.

• Acknowledges patient rights with regard to confidentiality by maintaining patient confidentiality and following HIPAA guidelines and regulations at all times.

• Acts as a patient advocate by responding to and addressing all patient concerns in a timely manner.

• Maintains current on all mandatory employment requirements including but not limited to Orientation Attendance (new hires), CHI Mandatory Education Courses, CHI additional Education Courses, Health Review, TB Testing and Annual Flu Shot.

• Must be a self- started and demonstrate the ability to work independently by making appropriate decisions according to the organizational and departmental guidelines that fall within the scope of the position.

• Demonstrates the ability to understand and effectively utilize a highly complex billing system(s).

• Maintains current knowledge of all Federal, State and compliance regulations related to billing and insurance as required based on the scope of the position.

• Demonstrates an understanding of HCFA 1500 claim forms, CPT, ICD.9 and HCPCS codes specific to insurance carrier requirements as required based on scope of the position.

• Maintains clear and concise documentation in claims and/or online notes as required based on the scope of the position.

• Participates effectively as a team member.

• Maintains competent job performance or better.

• Maintains an organized work area that enhances the organizational/departmental image.

• Reports all issues related to workflow backlog or identified process related concerns to Manager.

Patient Account Rep II - Follow-up

• Responsible for reviewing accounts for correct third-party billing as assigned.

• Contacts insurance carriers, patients, and clinics to resolve claim issues.

• Updates patient registration and insurance as needed to correctly file claims.

• Ability to process complex claim correction involving both pending and previously adjudicated claims.

• Ability to utilize high level thinking and problem solving to bring complex claims to resolution.

• Files claims according to insurance company guidelines.

• Participates in recognizing denial trends and provides feedback to manager

• Maintains claim and online notes

MINIMUM QUALIFICATIONS:

  • High school diploma or GED required.

  • One-year experience in accounts receivable or health insurance in a medical setting required

  • A minimum of one-year current experience of CPT, ICD-10, and HCFA 1500 required.

Additional Information

  • Requisition ID: 2020-R0279177

  • Schedule: Full-time

  • Market: Mercy Medical Center

About Us

We are excited to share that CHI was named as one of America’s Best Employers 2019, by Forbes. Clickhereto learn more.

Chances are, you’re here because you’re looking for a career offering greater opportunity, challenge and fulfillment. We’re confident you’ll find all three at CHI. As one of the nation’s largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic

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