Patient Accounting Representative-Medicaid McLaren Health Care 54
reviews - Shelby Charter Township, MI McLaren Health Care is looking for
Patient Account Representatives with Medicaid Billing Experience to join
the Corporate Revenue Cycle Team. We have several opportunities for the
right candidates. Work Location: The permanent work site will be at the
located in Shelby Township. JOB SUMMARY: The Patient Representative will
be responsible for one or more of the following functions: billing,
follow-up, cash posting, or customer service. Representatives will
support the McLaren Health Care System subsidiaries and external
customers and vendors as part of the Revenue Cycle Central Business
Office. BILLING: Responsible for billing hospital and physician claims,
for inpatients and outpatients treated in the hospital and clinic, on
behalf of the patient, within insurance time filing limits. * Interprets
third party requirements and appropriately bills for facility and
physician services within time filing requirements. * Performs necessary
maintenance to patient accounts in the billing and claims editing
systems. * Responds timely to all patient and commercial inquiries
either by phone or by written correspondence regarding patient accounts.
- Contacts insurance companies regarding unreleased and unprocessed
bills. * As assigned, Patient Rep will be responsible for developing
relationships and working with respective vendors in a timely and
professional manner. * Works with other departments and insurance
companies to resolve bill/claim edits. * Notify Analyst of edits that
needs to be built and Denials Rep for denial trends. FOLLOW UP:
Responsible for follow-up with third party payors for inpatients and
outpatients treated in the hospital and clinic necessary to obtain
payment and/or a resolution of patient accounts within insurance time
filing limits. * Performs necessary maintenance to patient accounts in
the hospital and claims editing systems. * Responds timely to all
patient and commercial inquiries either by phone or by written
correspondence regarding patient accounts. * Contacts insurance
companies regarding outstanding insurance bills. * Follows-up on Age
Trial Balance Report monthly. * As assigned, Patient Rep will be
responsible for developing relationships and working with respective
vendors in a timely and professional manner. * Notify Analyst of edits
that needs to be built and Denials Rep for denial trends. Required: *
Associate Degree in Health Care, Finance or related area and/or Medical
Biller. Equivalent combination of education and relevant experience may
be accepted * Proven skills in Microsoft Office, specifically Excel and
Word, Window based applications; and 10 key calculator Preferred: *
Excellent communication skills, verbal and written * Working knowledge
of CPT, HCPCS, and ICD-10 * Must be able to understand, explain,
calculate, analyze and interpret the information reviewed daily * One
year experience in hospital financial or patient service McLaren Health
Care is one of Michigan's fastest growing health systems. With 13
hospitals, annual revenues of over $3 billion, and a service area that
covers 75% of the state, McLaren is committed to the highest levels of
patient care. NOTE: To further our mission of enhancing the health
status of the individuals and communities we serve, effective February
1, 2013,McLaren Health Care will no longer hire individuals who use
tobacco or nicotine products in any form. Cotinine testing will be used
to verify non-tobacco use. Individuals whose health screening results
are verified positive for tobacco/nicotine use will be disqualified from
employment, their job offer will be rescinded, and they will be
disqualified from reapplying for employment for six (6) months from the
date of the health screening. 3 hours ago - save job - original job
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