Lindner Center of Hope
Patient Accounting Representative - Lindner Center of HOPE - Revenue Cycle (Finance)
Location: Lindner Center of HOPE
Department: Revenue Cycle
Shift: First
Hours: 40 hours per week
Work from home opportunity!
Primary Purpose:
The primary focus of this position will be on insurance refunds and professional insurance collections. This position is also responsible for AR follow up on all unpaid claims which includes reviewing and tracking all denials and bringing them to resolution. The position is also responsible for preparing and maintaining an accurate accounting of denials, trends, under and overpayments for contract compliance.
Major Duties and Responsibilities:
1. Research zero paid claims and takes action for maximum reimbursement. Ability to collect from self pay and insurance claims.
2. Work collection follow up reports for unpaid claims at the 45 day, 60 day, 90 day and 120 day buckets.
3. Tracks and trends all denials for quality improvement opportunities.
4. Works closely with UR nurses to file appeals on inpatient denials. Files appeals on appropriate denied outpatient claims.
5. Creates, organizes, corrects, updates and maintains accounts using medical billing software.
6. Participates in the Utilization Management meeting.
7. Performs other duties as assigned or required.
8. Research all credits for Commercial/Medicare claims for possible refunds.
Position Qualifications: