Patient Account Specialist Senior - Santa Rosa Administration

Summary:

The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services.

Responsibilities:

• Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment.
• Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle.
• Provide excellent customer service to market personnel, insurance carrier representatives and patients.
• Document all follow-up efforts in practice management system.
• Assists with patient education concerning insurance plan.
• Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health’s cultural diversity objectives.
• Supports and adheres to CHRISTUS Health Service Guarantee.
• Performs all other duties as assigned.

Requirements:

• High school diploma or equivalent; college course work a plus.
• Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
• Effective oral and written communication skills
• Detail oriented. Ability to work independently and as part of a team.
• Minimum three years of physician billing experience.
• Candidate must possess the following:
• Extensive knowledge of CPT, HCPCS and ICD-9 coding principles in a multi-specialty physician practice.
• Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies.
• Ability to successfully perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund processing. 
• Advanced understanding of medical terminology.

Work Type:

Full Time

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