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PATIENT ACCOUNT REP II

Company: Williamson Medical Center
Location: Franklin
Posted on: June 15, 2019

Job Description:

Williamson Medical Center is hiring a Patient Account Representative II in Franklin, TN. This is a full time position on day shift. This position is eligible for an excellent benefit package offering medical, dental, vision, paid time off, flexible spending accounts, voluntary life, short-term disability and long-term disability, discounted membership to Williamson County Recreation Centers and more!

At Williamson Medical Center, our employees are more than just another number. To us, they're family. They're smart, talented, compassionate, dedicated, and an overall joy to be around. We're certainly blessed to have the best of the best working here from the cafeteria to the operating room.

But as Williamson County and surrounding areas continue to grow, so must we. That's why we want YOU to join our family!

This position primarily involves following up on accounts for services rendered at WMC. This is to maximize the full payment potential of each claim from the Commercial, Government and Auto Liability carriers in a timely and accurate manner. The Patient Account Rep serves as a liaison between the patients and insurance carriers. The PAR works with all departments in the hospital to ensure the proper charges, adjustments and codes are processed by the carriers and the patient's balance is correct. This position also serves as a fill in for the Commercial/Government Biller whenever needed.

Position Requirements

Formal Education / Training:

Must be a high school graduate or equivalent, have hospital or physician billing experience, have PC and calculator experience, and have good communication skills to discuss account financials with insurance carriers and patients

Workplace Experience:

Prior experience in a hospital setting or related area is required.

Equipment and Skills Training:

Meditech System, SSI Electronic Billing System, SSI Electronic System for RA Print, Valco System, Passport System, Blue Cross DDE System, Excel, Word, PC, Printers, Fax, Copier

Physical Environment:

Business Office

Physical Effort:

Requires sitting for prolonged periods of time, viewing the computer screen and using repetitive motions, and must have a clear, understandable telephone voice

The following description of job responsibilities is intended to reflect the major responsibilities and duties of the job, but is not intended to describe minor duties or other responsibilities that may be assigned. Williamson Medical Center reserves the right to revise job duties as the need arises. These responsibilities do not constitute a written or implied contract of employment.

KEY RESULTS



  • Utilizes SSI Electronic software (when necessary) to accurately process all Commercial and Government accounts assigned by system daily
  • Processes Commercial and Government, Auto Liability paper claims when necessary
  • Compares SSI electronic claim against Meditech claim when dealing with carrier questions regarding claim submitted and works on resolving discrepancies to prevent denial.
  • Utilizes Passport, Government and Commercial websites to access on-line information such as claim status inquiries, eligibility, etc.
  • Analyzes Commercial and Government EOBs and remittances for secondary insurance filing and to determine appropriate patient liability or secondary payer amount
  • Utilizes Outlook to communicate denials with the various departments and ensures timely response/resolution to denials.
  • Reviews and takes action on Commercial and Government accounts provided on Meditech Collector Desktop (ATB) in a time frame consistent with peers
  • Converses and documents discussions with Commercial, Government and Auto insurance carriers as well Attorneys regarding unpaid claims.
  • Answers patient calls regarding billing and account balances for all Commercial and Government accounts
  • Re-queues Commercial and Government claim forms and itemized bills as needed after audit corrections have been completed
  • Handles and prioritizes multiple tasks
  • Completes any other job duties assigned by the department Director or Supervisor(s)

    Williamson Medical Center is an equal-opportunity employer and a drug-free workplace.

    MPIND123

Keywords: Williamson Medical Center, Franklin , PATIENT ACCOUNT REP II, Other , Franklin, Tennessee

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