Patient Account Rep - Professional Billing - FT - Days

Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!

JOB SUMMARY:

The Patient Account Representative assists in review and resolution of hospital claims under general supervision of the Patient Financial Services Supervisor. Summary should include scope: Provide timely, appropriate feedback and resolution on outstanding accounts that were previously submitted to payors/insurance companies.

RESPONSIBILITIES MAY INCLUDE ONE OR MORE OF THE FOLLOWING: Reports to Executive Director Managed Care and Payer Strategy.

JOB QUALIFICATIONS:

Can we include: Internet access mandatory. Ability to work access and work with payor websites. Two years college level coursework in any field.

Associate's degree in any field preferred.

Two (2) or more years' job related experience in health care revenue cycle.

- Must be able to accurately type 30 WPM and successfully complete competency exam with 80% proficiency.

- Must possess business knowledge and results oriented experience within Patient Financial Service and demonstrated knowledge and experience with the Microsoft Suite skill set to include Excel and Word.

- Must be highly motivated and detail oriented with excellent teaming skills and possess excellent communication, time management, and organizational skills.

- Must possess the ability to be flexible, work collaboratively among internal and external departments, and effectively investigate, analyze, and problem solve.

Preferred experience:

1. Hands on knowledge of Medicare and Medicaid billing regulations; Experience with Health Care Finance Administration (HCFA) 1500 claim forms billing and follow up functions - both electronically and manual.

2. Hands on knowledge of Current Procedural Terminology (CPT), International Classification of Diseases (ICD-9) coding, Healthcare Common Procedure Coding System (HCPCS). Knowledge of Outpatient Code Editor (OCE) and Correct Coding Initiative (CCI) edits.

3. Working knowledge of Medicare Secondary payer as well as medical necessity requirements.

4. Demonstrated service and success in teamwork and consistent high productivity and quality

5. Epic Experience