PATIENT ACCOUNT REP - SAN MATEO CBO

Location: US-CA-SAN MATEO Status: Full Time, Employee Job Category: Accounting/Finance/Insurance Reference Code: 40511 Job Description Facilitate reimbursement of all claims as rapidly as possible from the date of service through the submission of claims and collection of payment, in order to maximize cash collections and minimize uncollected accounts. Claims submission includes interface with, and control of, documents from the Medical Information Department, Case Management, Review Organizations, Information Systems, Admissions/Registration Areas, and Ancillary Departments. Collections are secured through written, and oral communications, use of computerized systems and other collection techniques accepted within the Healthcare industry and in accordance with accepted legal practice. These processes and procedures ensure that all accounts are processed in an efficient and expeditious manner while assuring the integrity of each patient account. MINIMUM QUALIFICATIONS: * High school graduate or equivalent. * 3 years Patient Accounting experience within the last 5 years, preferably in an acute care setting. PREFERRED QUALIFICATIONS: * A.A. College Degree with emphasis in Business Administration, Public Administration or Public Health Administration. * 5 years Patient Accounting experience in a large metropolitan medical center, large free standing clinic, or chain of free standing clinics. PERFORMANCE STANDARDS: * Must effectively operate a 10 key adding machine by touch, and must type 40 words per minute with minimal errors (5 or less). * Must demonstrate effective interpersonal skills and communication skills. * Demonstrated effective expertise in acute care billing and collections, third party payment functions and working knowledge of their requirements. * Experience and the ability to effectively use automated billing systems, associated reports, and logging systems. * Experience and the ability to effectively use Direct Data Entry systems. * Current familiarity with insurance claim form UB92. * Positive group dynamics and a firm commitment to quality performance of the department, and a firm commitment to the comprehensive achievement of the department's goals and objectives. * Demonstrated knowledge of the legal requirement of collections. DUTIES AND RESPONSIBILITIES: The specific functions and responsibilities of this position include, but are not limited to, the following: 1. Informs manager of chronic problems identified through the review/editing process and informs manager of problems which may lead to backlog status prior to backlog occurring. 2. Telephone contact with patients and/or third party payor sources for collection of account balances in accordance with CHW BAY AREA Region Patient Accounting Services collection policies. 3. Identify and perform adjustments to correct the following: erroneous charges; contractual write offs; and other adjustments deemed necessary and appropriate. 4. Provide recommendations of accounts for assignment to outside collection agencies after all collection steps have been used and payments have not been received. 5. Research charges and payments on all accounts, to assure that account reflects correct and current charges and outstanding balances. 6. Identify accounts of deceased patients that require a creditor claim to be filed against the Estate. 7. Responds in hard copy to all requests for documentation to support claim resolution. 8. Perform skip tracing within legal standards when necessary to collect payment for services provided. 9. Provides cross training to Admissions/Registration staff persons on all billing procedures. 10. Assists in all Cash Posting activities as requested by the department management to ensure timely and accurate posting of cash. Click here to Apply Online. Contact information