Northern Light Medical Transport and Emergency Care Department: Patient Financial Services Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 Work Schedule:No Hours Assigned Summary: Patient Account Representative is responsible for patient account management including coding, claims submission, payment posting, issuance of refunds, payer interaction, denial management and other tasks as assigned related to the revenue cycle. Responsibilities: + Performs quality control/maintenance/Troubleshooting for procedures and processes. + Reviews and evaluates billing or payment postings + Investigates problems and takes appropriate corrective action + Advises supervisor of any suspected system deficiencies. + Successfully completes iCare program and reads required safety and compliance manuals. + Completes mandatory training, reads all required policy/procedure books yearly. + Satisfactorily processes patient demographic, insurance and testing information to accurately process a claim, post payments to patients' accounts, and/or solve any rejected or denied claim issues. Also does unpaid claims follow-up, if required. + Evaluates requisitions for appropriateness of billing type and test requested. + Follows all billing protocols, while making a minimum amount of errors. + Enters data into system completely and accurately. + Verify any questionable requisition information with ordering physician or ancillary department and initiate any corrections. This includes any follow-up necessary to comply with “medical necessity” requirements. + Calls physician's office to obtain the diagnosis, symptom or sign if none is indicated on the requisition. + Properly use the "GA" modifier for Medicare claims for tests that have a completed "ABN". + Participates in Billing Functions/Projects + Volunteers for projects. + Acts as a resource for less senior staff. + Assists supervisor in directing patient account staff on new procedures, training and communication. Other Information: Competencies and Skills + Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan. + Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation. + Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved. + Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others. Education + Required High School Diploma/General Educational Development (GED) Working Conditions + Potential exposure to diseases or infections. + Potential exposure to hazardous materials. + Potential exposure to noxious odors. + Extend body and limbs to reach items. + Lifting, moving and loading 30 to 50 pounds. + Prolonged periods of sitting. + Prolonged periods of standing. + Prolonged periods of walking. Position Patient Account Rep- SrLocation Req ID null