Patient Accounts Representative- Assistant

Alomere HealthAlexandria, MN
2dOnsite

About The Position

The Patient Accounts Representative Assistant is responsible for assisting patients and remote working staff. This position must have excellent customer service skills, mutli-tasking and prioritizing abilities, a team spirit, and medical office knowledge.

Requirements

  • High School Diploma or Equivalent
  • Compliance- Understanding and ability to apply HIPPA rules and regulations.

Nice To Haves

  • Medical Administrative Assistance Program or Equivalent Experience

Responsibilities

  • Navigating insurance websites to verify eligibility, adjudication information and coverage issues pertaining to a specific insurance company.
  • Read electronic RTE’s (real time eligibility) that come back from the insurance companies and update patient accounts to reflect correct information
  • Review, document, and mail refunds to insurance companies and/or patients
  • Able to read an Explanation-of-Benefits and explain the claims processing to patients
  • Knowledge of a 1500 form and an Uniform Billing form (UB) form
  • Maintain contact with client accounts regarding new and old claims
  • Reviews and manages workqueues to obtain, identify and verify coverage in a timely manner
  • Supply cost-share patients with a claim form and detailed bill, then adding self-pay discount to charges
  • Print Professional Billing (PB) claim run out of EPIC daily
  • Perform Hospital Billing (HB) claim count daily
  • Assist the Reception/Admitting staff when they call with questions on the different types of insurances.
  • Responding to patient questions to resolve billing questions and concerns. Forwarding unresolved issues to the appropriate party and documenting all phone calls electronically.
  • Providing detailed bills to our Release-of-Information
  • Send requested medical records to insurance companies
  • Calling on updates for outstanding disputed claims
  • Assisting the Billing Team by answering incoming phone calls or mailing appeals as needed

Benefits

  • Health, Dental, and Vision Insurance
  • Employee Health Clinic (health +): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan
  • Retirement Savings (401(k)) - All eligible employees of Alomere Health are automatically enrolled. All eligible employees are able to contribute on a pre-tax and/or post-tax basis and Alomere Health matches 100% up to 6% of employee's contributions.
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