AdventHealth Careers for Veterans

Job Information

AdventHealth Patient Account Billing Rep in Fletcher, North Carolina

Description

Patient Account Billing Representative AdventHealth Hendersonville

Location Address: 100 Hospital Dr, Hendersonville, NC 28792

Top Reasons To Work At AdventHealth Hendersonville

  • Community Involvement

  • Located in the beautiful mountains of Western North Carolina

  • Great Benefits

  • Co-workers that feel like family

  • Faith Based

Work Hours/Shift:

Full Time - Days

You Will Be Responsible For:

  • Runs & reviews 72 hour reports in CPA, two to three times each week

  • Sends work items to appropriate departments, using job aid for proper wording.

  • Works CPA queues within time frames designated:

  • Daily: work item to be verified, outpatient overlap;

  • Bi-weekly: claim holding general pending update, attention needed;

  • Weekly: update needed on claim, all others.

  • Interacts with PFS staff, hospital personnel, and corporate representatives in a helpful manner, demonstrating expertise and professionalism.

  • Reviews SSI errored paper claims, validating and printing for mailing to payers.

  • Ensures compliance with billing policies, making no changes to body of claim in SSI unless approved in the job aid.

  • Reviews SSI errored secondary/tertiary claims daily based on facility & alpha split, correcting and validating claims in preparation for daily submission.

  • Sends work items to appropriate departments, using job aid for proper wording.

  • Reports ongoing problems to management or SSI to eliminate repetitive errors. Strives to continually improve validation rate.

  • Report any problems outside the normal work flow to SSI customer service or local IS team, as appropriate.

  • Calls insurance companies if payment is delayed, ascertaining what is necessary to get claim paid and following up to make sure they have necessary information to pay claim.

  • Consistently uses online resources for claim follow-up and payor policy changes.

  • Processes correspondence and emails in a timely manner and completes necessary actions.

  • Identifies claim denials where appeals are not needed and adjusts appropriately.

  • Maintains aging of accounts within corporately defined goals.

  • Makes appropriate decisions for resolution of unpaid claims.

  • Ensures compliance with billing policies, making no changes to body of claim in SSI unless approved in the job aid.

  • Interacts with billing staff, hospital personnel, and corporate representatives in a helpful manner, demonstrating expertise and professionalism.

  • Accepts and performs other duties as assigned.

Qualifications

What You Will Need:

  • High school graduate or equivalent.

  • Proficient in ten-key entry

  • Experience with medical terminology, insurance reimbursement, ICD-10 and CPT coding preferred.

Job Summary:

Reviews all 72 hour and OP to OP overlaps for possible combining according to policy. Works in other areas as assigned.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.

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