Nystrom & Associates Ltd
Patient Account Representative (Project Management)
Daily review and billing out of provider charges
Weekly reconciliation of Encounter Reports to ensure all acknowledged appointments are billed
Communication with providers on all missing billing
Verifying that claims are billed out properly which includes but is not limited to:
DX Codes
CPT Codes
Provider Credentialing
Insurances
Modifiers
Manage Assigned Task baskets
Entering all charge by deadline dates - 3 deadlines per month
Professional communication with providers and business office staff
Re-billing and/or Void & Re-enter claims as requested by management or providers
To include required information by the insurance company
Weekly review of updated insurance information
Individual cheat sheets to be updated weekly
Expire non-applicable notes from patient accounts
Field/Resolve provider/clinic inquires via Email/Task within 24 hours
Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.
Bi - monthly running and reconciliation of hold reports to ensure billing is sent out
Communication with supervisor in regards to any workflow issues
All other duties as assigned by Management.
Job Expectations
Recognize any errors being made during self-audits for billing charges
Fixing those errors before sending out claims to insurance companies
Charges are entered within 24 hours of OP Appointment
Charges are entered within 48 hours of CB Appointment
Task baskets
Inquiries are followed up within 24 hours of creation
Adjust/Edits are completed within 45 days
Recognize/report trends and patterns with providers & clinics
Open communication with Supervisor
Arrive and leave on time according to assigned schedule
Adhere to business office/NAL policies
Cell phone policy
Attendance policy
Gossip policy
Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.
Note and apply updated and changed insurance or workflow information.
Communication of any questions and concerns that arise from the meetings
Qualifications:
Insurance billing and follow up experience; Mental Health experience preferred.
Familiarity with insurance company guidelines and HIPAA regulations.
Detail oriented, flexible problem solver; maintains a positive attitude.
Computer Experience required; Microsoft Windows, Excel, Word, Outlook
Customer service experience.
High school graduate or above.
Strong communication skills
Flexibility
Organization
Hours:
Monday through Friday 7:45am-4:15pm
Benefits:
Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:
Medical, Dental, & Vision insurance with generous employer contribution
Health Savings Account (HSA)
Flexible Spending Account (FSA) for applicable medical and dependent care expenses
Paid Time Off (PTO)
Paid Holidays
Flexible Scheduling options are available!
401(K) Retirement Plan with a generous employer matching program
Supplemental insurances, such as short/long term disability, cancer insurance, accident insurance, pet insurance, and life insurance
Tuition discounts at select Universities