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Patient Account Representative

Company: Aerotek
Location: Norfolk
Posted on: April 9, 2021

Job Description:

Description:Performs all phases of Third Party Billing and Follow-up on services provided by Health Services clinical staff.ResponsibilitiesResponsible for the electronic and manual billing to Third Party Payers in a timely, proficient fashion and maintaining the Gateway system.Review all manual claim forms for accuracy prior to the claim submission.Understand the required attachments to claims, as they relate to CPT, ICD9, and modifier coding practices. Reviews claims for appropriate documentation attachments.Ensure that all carrier requirements are supported with claims submitted.Communicate with the EVMS Health Services clinical departments, hospitals, and patients to secure insurance data and/or medical documentation required to file claims.Operate the Touchworks Scan filing system to retrieve required documentation, referrals, and/or other pertinent data to file claims.Review IDX claim edit lists to make the necessary corrections to data input errors or missing information.Post the "insurance billed" paycode to all manual filed claims.Post the "Appeal Sent" paycode to all appealed claims. Insurance Follow-up functions:Responsible for the timely follow-up, account research, and resolution of outstanding Third Party claims.Maintain an IDX paperless collection system (PCS) workfile, as assigned by the Insurance Department Supervisor.Utilize the PCS tickler system to follow through on the carrier's promise to pay claims.Identify and have corrections made to any CPT/ICD9/Modifer coding error that prohibits the claim(s) from the final adjudication process.Coordinate the exchange of insurance information with the Health Services clinical departments to expedite claim processing.Identify appropriate adjustments to patient accounts for submission to the PAR or the Insurance Department Supervisor.Prepare insurance claim forms and/or tracers on unpaid invoices in a timely fashion.Handle incoming calls from the insurance carriers and respond to their requests in a timely fashion.Other duties as assigned.Typical day from the manager-Log into their billing system ETM and work out of work ques or filesAny denials posted in the system create a task that is generated in the system and is categorized by the rejection type (example -eligibility or if its not covered)Responsible for working all denied claims - goal is to maintain them as much as they can but they would like them under 60 daysThey are responsible for working 50 accounts per day. Some times it is as simple as a coding error and they have to make a note in the task and send back to the practice biller to correct the code and send backIt is all task driven - alot of reaching out to insurance companies via their carrier website to figure out how to get the claim paidIt is extremely busy as this group does the follow up for the entire EVMS Medical Group - about 150 providersWork load is divided by alphabet so they will have patients last name say A-EWork in Allscripts EPIC and ETMSkills:Accounts receivable, Patient account, medical billingTop Skills Details:1+ years of medical billing experienceKnowledge of insurance carriersAR experienceAdditional Skills & Qualifications:Great with provider or facility billingEMR knowledgeJob stabilityAbility to work independently - they are extremely busy and wants someone who will come in and work About Aerotek:We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Norfolk , Patient Account Representative, Other , Norfolk, Virginia

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