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Posted: Tuesday, September 5, 2017 4:20 AM

Job Details High School/GED 3 years of experience required Accounts Receivable Rep Job Summary: Responsible for the accurate and timely posting of all charges, payments, adjustments and denials into the Practice Management System. Balance totals of all financial activity posted to patient accounts prior to daily close. Perform daily closing of assigned datasets and provide appropriate documentation to be archived. Generate patient statement and insurance claim files as instructed. Transmit batches electronically according to established procedures. Facilitate processing of all active claims and statements. Perform account collections. Provide customer service for patient account inquiries. All team members are expected to be knowledgeable and compliant with Palmetto Health-USC Medical Group's values of compassion, dignity, excellence, integrity, and teamwork. Responsibilities: Accurately post all charges, payments, adjustments and denials. Perform daily close out procedures and advance the date in the Practice Management System. Create claim batches and process them via electronic submission. Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections and resubmit. Transfer open items to secondary insurance when appropriate. Utilize appropriate codes when posting charges into the Practice Management System. Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers. Capture information from patient's medical record when necessary to properly code both procedures and diagnoses. Receive and answer telephone and written inquiries regarding patient accounts. Explain payment and settlement process to patient and third party payers. Review past due accounts and prepare for bad debt write off. Contact insurance carriers and/or patients for immediate payment. Set up payment arrangements according to established guidelines when necessary. Provide duplicate billings, coordination of benefit information and medical records when need to expedite payment of open items. Identify accounts with credit balances and process refund check requests. Monitor claims for appropriate processing. Submit appeals correspondence to third party payers when claim processed incorrectly. Post comments on patient account to reflect all actions made. Effectively utilize time and resources in order to meet performance goals. Clearly communicate any billing related issues to Billing Manager. Maintain current knowledge of departmental and organizational policies. All other duties as assigned. Requirements: Education: High school diploma or equivalent Experience: Minimum of 3 years of related experience Special Training: Must be computer literate; prefer experience with current Practice Management System; must be dependable and self motivating; must be familiar with general charge entry procedures; ability to work independently with problem solving capabilities; extensive working knowledge of ICD-9, CPT, NCCI and Medicare LCDs; must be familiar with modifier application and standard billing regulations; must have the ability to read and comprehend insurance remits; must be able to communicate well with others. EEO/AA Minorities/Females/Disabled/Veterans

Source: http://www.juju.com/jad/00000000cao2tk?partnerid=af0e5911314cbc501beebaca7889739d&exported=True&hosted_timestamp=0042a345f27ac5dce78180c6ee4f11833557021620d291ee330b44c595a5a948


• Location: Columbia

• Post ID: 23013862 columbia
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