Patient Accounts Representative

Description

Patient Accounts Representative - Full Time - Pueblo, CO

Starting Pay Range: $17.51 - $19.55 / hour

Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more per week.

Benefit opportunities presently available to employees are listed below:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Long-Term Disability Insurance
• Short-Term Disability Insurance
• Life Insurance
• 403(b) Tax-Sheltered Annuity Plan
• Cafeteria 125 Flexible Spending Account

In addition to the benefits available for purchase through the Cafeteria 125 plan, Pueblo Community Health Center offers supplemental insurances and generous paid time off benefits including holidays and personal time off (PTO). The organization also contributes to the employee’s tax-sheltered annuity plan after one year of service.

Job Summary:

Responsible for submitting claims, analyzing payer denials and problem solving to resolve unpaid claims. Responsible for posting payments from payers accurately and timely.

Reports to:

Patient Accounts Manager

Supervision Exercised:

None

Education/Experience/License/Certification: 

•  High School Degree or equivalent
•  One year medical billing experience required
•  Experience with Medicaid, Medicare, HMO/PPO’s, and/or other Third Party Payers
•  Valid driver’s license and auto insurance as required by law.

Required Travel:

• Occasional local travel may be required

Knowledge/Skills/Abilities:

The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. A working knowledge of CPT and ICD-10-CM coding helpful.
2. A working knowledge of insurance billing.
3. Essential to have ability to understand verbal information/instruction, to exchange verbal information with others and to present information verbally.
4. Essential to have ability to read and understand written materials, and ability to compose information/instruction in written form.
5. Essential to be able to reason mathematically, to have analytical and problem solving skills.
6. Ability to speak Spanish helpful.

Essential Duties and Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1. Ensure the function and activities of this department to embrace the philosophy, mission, values and Communicate with Heart service model supported by the Board of Directors of Pueblo Community Health Center, Inc.
2. Adhere to the guidelines and procedures of Pueblo Community Health Center, Inc.
3. Responsible for submitting daily electronic claims and paper claims to clearinghouse and insurance payers.
4. File all applicable insurance forms for Center’s patients.
5. Process appeals, refund requests and inquiries.  Make any necessary adjustments to accounts in order to comply with PCHC programs and insurance carriers.
6. Analyze account balances to accurately bill patients for balance due
7. Assist patients with billing questions.
8. Review insurance aging reports to identify unpaid claims for resolution.
9. Arrange payment schedules with patients for collection of past due accounts.
10. Inform Patient Account Manager of any noncompliance issues.
11. Assist in training of new Patient Accounts Representatives and participate in cross-training as directed by the Patient Account Manager.
12. Participate in department and General Staff Meetings.
13. Perform other related duties as assigned.
14. Work outstanding tasks for encounter resolution in practice management system.
15. Make inquires via telephone or payer website on patient encounters for payment resolution.

The above duties are not all inclusive and are not intended to limit or define the duties that may be assigned.

Company's website:

• www.pueblochc.org

Closing Date:  Open until filled.

Pueblo Community Health Center is a tobacco and drug free workplace. EOE

Qualifications

Salary : $18 - $20