Job description

*** Please note Beebe Healthcare Main Campus is located in Lewes, DE with other locations within a 22-mile radius in Sussex County, DE ***

Team Beebe! One Beebe! Beebe Healthcare is the largest employer throughout beautiful Sussex County, DE and we have exciting career opportunities available for qualified professionals.

Patient Account Representative

Responsible for the billing and follow-up activities for commercial claims. Position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing and collection of accounts while following departmental productivity and quality control measures that support the organization's operational goals. In order to be considered for the position, please visit our website www.beebehealthcare.org to fill out an application.

Requirements:

• At least one year experience in Business Office practices with emphasis in billing duties.
• Must have good command and use of keyboard functions to use a CRT.
• Typing and computational skills are required.
• Must be familiar with medical terminology, ICD9/ICD10 and CPT coding.

Responsibilities:

• Analyzes and validates commercial correspondence and denials within 3 working days.
• Researches denial criteria and compares to payer contract and benefits for appropriateness.
• If assigned, handles the billing of secondary commercial claims, to include reviewing/correcting any incorrect or missing insurance information, sorting/preparing claims and remittances for submission, and demanding/working secondary claims that require a 30 day hold to payers.
• Reviews account receivable files and examines accounts to ascertain previous billing and collection actions, status of pending insurance coverage and delinquent payments.
• Contacts insurance carriers and/or customer by telephone or mail to secure payment in the shortest possible time.
• Rebills insurance when necessary.
• Records collection action taken on accounts.
• Maintains responsibility of account until paid in full.
• Recognizes and reports payer denial trends and issues to leads and makes recommendations for changes to reduce or eliminate denials.
• Works to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of Patient Business Services.
• Provides clear, concise, and timely documentation in the patient accounting computer system.
• Is adept at utilizing the Collector Workstation.
• Maintains records and follow-up files as required.
• Handles incoming telephone calls and correspondence from insurances in a courteous and professional manner.
• Researches and analyzes account history and accurately responds to inquiries to resolve the account in a timely manner.
• Demonstrates proficiency with the following computer systems and applications: Patient Accounting, Microsoft Word/Excel, Document Imaging, Epremis Claim Editor, and RAS. Is proficient in navigating through payer web sites.
• Demonstrates a clear knowledge of the revenue cycle and how it impacts the accounts receivable.
• Understands department and hospital policy and procedures as it relates to daily job responsibilities.
• Is able to analyze and identify issues that impact processing and reports them as appropriate to assure resolution.
• Actively participates in staff training to increase understanding of specific payer requirements as well as general billing and follow-up processes.

Competencies and Skill - Essential:

• Clear Communication Skills Both Written And Verbal
• Knowledge Of Basic Computer Programs
• Able To Keep Confidential Information Regarding Patients, Team Members
• Able To Withstand Crisis Situations
• Has Skills To Provides Customer Service To Patients, Team Members And Visitors

Education - Essential:

• High school graduate or equivalent

We are experiencing tremendous growth which allows us to offer more services to more people in more locations. Beebe Healthcare offers you a healthy, supportive culture where you can truly flourish with an excellent patient-focused environment, and leading-edge technology. Working at Beebe provides a feeling of community and a place to call home away from home.

Join our team of heroes today to take advantage of our excellent benefits and compensation package.

Visit our website www.beebehealthcare.org/careers to apply and for more information

Phone: 302-645-3336

424 Savannah Road, Lewes, DE 19958

EOE

Job Type: Full-time

Ability to commute/relocate:

• Lewes, DE: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location

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