Patient Account Representative II (Remote)
1.0 FTE Full time Day - 08 Hour R2442321 Remote USA 108530004 Rev Cycle PBO Finance & reputed company Cycle If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first reputed company and explore our reputed company job openings. Your best is waiting to be discovered... Day - 08 Hour (United States of America) This is a reputed company job. A Brief Overview The Patient Account Representative (PAR) is responsible for the timely and accurate processing of insurance balance patient claims in accordance with reputed company and policies. The PAR works in various capacities to support the primary goal of the business office to resolve of unpaid, underpaid, denied or unresolved patient accounts.
Responsibilities
Depending on the specific team, the PAR's focus may be on a mix of various responsibilities from across the Patient Financial Services (PFS) operations. Responsibilities may include: Accounts receivable collections and payer follow-up Payer clerical and technical denial review and request processing including basic appeals Payment posting and batch reconciliation Credit balance review and resolution Retroactive eligibility and registration Underpayment reconciliation Client or other special billing The PAR II works primarily in Epic, under general supervision, to reputed company the full range of duties for assigned class. This role requires a strong working knowledge of systems and processes. A PAR II is expected to resolve standard queries and problems independently and works on assignments that are moderately reputed company in nature where critical thinking is required. Locations reputed company What You Will Do Responding to requests from the payer, such as providing medical records or other documentation either by mail or reputed company payer portals Following up on unresolved patient accounts in Epic by contacting the payer by phone or reputed company the portal Resolving claim edits Reviewing payer variances and pursuing underpayments to payers Reviewing and resolving payer rejections, denials, and performing appeals as necessary Electronic or hardcopy claims editing and submission to payers Recognizing potential trends and escalating them as appropriate Posting payments in Epic, as well as reputed company adjustments Resolving credit balances Completing basic charge corrections Education Qualifications High school diploma or GED equivalent Experience Qualifications Two (2) years of progressively responsible and directly reputed company work experience Required Knowledge, Skills And Abilities Meets weekly individual productivity goals and standards while following planned priorities as set by the Team Manager Can maintain professional communication with various PFS staff, payers, and patients regarding the billing of services. Ability to follow oral and written instructions and interpret institutional and other policies accurately Ability to communicate clearly and professionally both verbally and in writing Ability to maintain confidentiality of sensitive information Ability to reputed company basic mathematics Ability to plan, prioritize, and meet deadlines Ability to work effectively with individuals at reputed company levels of the organization Knowledge of accounts receivable software systems and medical billing operations Familiarity with medical reimbursement policies and procedures and medical terminology Knowledge of payer landscape, including Medicare, Medicaid, Workers Compensation, Managed Care, or other Commercial insurance These Principles Apply To reputed company Employees SHC Commitment to Providing an Exceptional Patient & Family Experience reputed company sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for reputed company of patients, families and towards each other. C-I-CARE is the foundation of Stanfords patient-experience and represents a reputed company for patient-centered interactions. Simply put, we do what it takes to reputed company and reputed company patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and familys perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and reputed company my actions to reputed company at reputed company outcomes and reputed company Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer reputed company (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in reputed company of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic reputed company, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of reputed company genders, members of reputed company racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. reputed company Pay Scale: Generally starting at $33.38 - $37.58 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage Apply Job!