EVMS

Senior Patient Account Representative

Position Number
6409429
Department
EVMS Medical Group
Category
Administrative/Clerical
Compensation Max
USD $17.22/Hr.
Compensation Min
USD $13.25/Hr.
US-VA-Norfolk

Overview

Perform all phases of the payment processing functions for reimbursements from Third Party Payers and patients received in the EVMS Medical Group’s system.  Perform credit balance review where applicable.  Handle difficult patient calls when necessary.  Assist the Supervisor in the delegation of assigned duties and the monitoring of staff productivity.

Responsibilities

(Same tasks as the PARs of the PP/Collections Department with the additional responsibility in the delegation and monitoring of the assigned tasks.)

 

  • Payment Processing Department Functions:
  • Assist in the training of the staff engaged in the posting of payments, contractual adjustments and handling of patient accounts.
  • Perform the data entry of payments and contractual adjustments to the IDX Bar system in an accurate and timely fashion. To include:

 

  • Posting of personal patient payments
  • Verifying and posting commercial payments/adjustments
  • Posting of BCBS, Medicare, Medicaid, Tricare, and HMO payments/adjustments
  • Posting of MasterCard, Visa, American Express payments
  • Electronic posting and reconciliation

 

  • Identify and perform respective credit balance review for the processing of refunds.
  • Perform the reconciliation and balancing of completed cash journals.
  • Coordinate the exchange of insurance and patient information with the clinical departments and other EVMS Medical Group staff members.
  • Review, correct and/or post the Medicare and BCBS edit lists from the electronic posting of the payments/adjustments.
  • Other duties as assigned.

 

  • Collections Department Functions:
  • Receive patient telephone calls and patient walk-ins for the establishment of appropriate payment arrangements on outstanding patient balances.
  • Organize past due accounts according to the self-pay FSC (financial class status) of the patients, (self-pay, promised to pay, credit letter sent, collections).
  • Assist the Manager in the review and bad debt (collection agency/attorney) adjustments of delinquent accounts.
  • Forward to the patient manual itemized statements and letters as applicable.
  • Refer sensitive collection issues to the Manager where applicable.
  • Request financial interviews from patients to determine financial need and a payment schedule.
  • Review and monitor PAR productivity and act as Manager in her/his absence.

 

ON THE JOB TRAINING:

 

  • IDX system’s four-day training session.
  • IDX system’s PCS and Rejection sub-system training.
  • EVMS Medical Group clinical structure, policies and procedures.

 

PATIENT CONFIDENTIALITY MUST BE MAINTAINED AT ALL TIMES.

Qualifications

  • High School graduate with at least three years’ experience in a Health Care billing and collections environment.
  • A clear understanding on the interpretation of an “EOB” (explanation of benefit remittance) from Third Party Payers.
  • Knowledge of Third Party Payer rules and regulations.
  • Knowledge of CPT/ ICD9 and modifier coding practices.
  • A minimum of 45 WPM typing ability.
  • Good Interpersonal skills.
  • Appreciation for confidentiality.

Location : Location

US-VA-Norfolk

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