SR PATIENT ACCOUNT REP - SMG
Location: Norfolk, Virginia
Description: Sentara is currently interviewing SR PATIENT ACCOUNT REP - SMG right now, this career will be reside in Virginia. More complete informations about this career opportunity please read the description below. Job Summary/Purpose: Coordinates initial claims submission and effectively manages the aged accounts receivable for all Sentara Medical Group providers. Ensures timely adjudicatio! n of insurance and third party claims, with minimal outstanding receivables and maximum reimbursement, while providing excellent customer service.
Responsibilities include, but are not limited to the following: Submission of electronic claims and maintenance of electronic billing application; resolve daily electronic claims edits and payer responses and update A/R Management System; submission of paper claims in accordance with individual carrier requirements; maintain claim file logs to ensure the number of claims produced equal the number of claims filed; resolve denials received on accounts by performing all billing and payment follow-up activities with insurance, third party payers and patients for outstanding balances aged greater than 60 days; review and perform charge corrections for booked receivables regardless of age; resolve credit balances by applying appropriate adjustments and/or preparing refund checks; identify opportunities for additional charge ed! iting or educational needs associated with activities for fron! t desk, charge entry, billing follow-up, payment posting, customer service, etc; analyze delinquent accounts to determine appropriate collection action; respond to all communications received related to delinquent accounts on the A/R Management System and accounts with the collection attorney.
Minimum Qualifications :
Education: High School Diploma/GED
Experience: 5+ years of physician billing across major payers, medical terminology, IDX practice management system experience preferred.
Licensure: CPC certified a plus.
Key Competencies: The successful Patient Account Representative must be a team player, adept in multi-tasking, results-oriented and customer focused. He/she must possess an ability to analyze and resolve complex billing issues and must have an ability to foresee the short and long-term effects of the resolution of billing issues. He/she must exhibit strong skills in the areas of detail! orientation, organization, analytics and verbal and written communication. Individual must possess a “super-user†knowledge base in physician billing requirements and activities across the various major payer networks.
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If you were eligible to this career, please give us your resume, with salary requirements and a resume to Sentara.
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This career starts available on: Fri, 19 Oct 2012 17:38:18 GMT
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