Patient Account Representative (Billing)

1.0 FTE (80 hours per pay period) Monday - Friday

Pay starting at $19.00 - $23.00 per hour

It is never too early to plan for retirement!

• As an employee of NCHC, you would be eligible for the Wisconsin Retirement System (WRS), which is among the best funded and best managed public pension systems in the country.
• The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. The WRS is a strong public pension plan because of its stable funding, unique plan design and robust governance. These factors set the WRS apart from the vast majority of other plans in the United States. With some $142 billion in assets, it is the 8th largest U.S. public pension fund.
• Participating staff contribute 6.8% and NCHC will match this at 100% each pay period!

Employee Benefits: NCHC Employee Benefits

Purpose of the Position

The Patient Accounts Representative shall be responsible for billing services monthly and monitoring the accounts receivable.

Education and Experience Requirements

Required: One to three years experience in health care billing.

Preferred: Associate's degree in Health Care Business

Essential Duties and Responsibilities:

Verifies accuracy of billable service data

Processes payment, denials, and refunds. Follows up on incorrect payments and denials.

Ensures compliance with third party contracts and policies

Makes adjustments, transfers, write-offs, and completes appeals when applicable

Reviews payments and denials to determine appropriateness from third party payors

Reviews billing statements for accuracy and payor requirements

Ensures self pay bills reflect maximum amounts that may be billed based on Wisconsin administrative code Communicates with clients/responsible party and third party payor's.

Ensures timely billing to secondary payors within filing deadlines

Serves as the contact for third party payor's and collection's agencies.

Reviews daily obituaries on line for any clients; sends to appropriate areas

Maintains regular and predictable on-site attendance

Other Responsibilities:

• Perform other work related tasks as required as assigned

Competencies

• Demonstrate organizational, leadership, management, clinical, department, program, common position and job specific competencies as required by North Central Health Care and/or various regulatory agencies based on job title.
• Complete organizational, leadership, management, clinical, department, program, common position and job specific education as required by North Central Health Care and/or various regulatory agencies based on job title.
• Qualifications and provision of care are in accordance with national acceptable standards of practices pertinent to role based on job title.
• Knowledge of regulatory and accreditation standards along with federal, state and local codes pertinent to role based on job title.

Core Value Standards of Behavior

It is expected that all employees will demonstrate behaviors that support excellence as defined by North Central Health Care’s Core Value Standards of Behavior.

Physical and Working Environment

• Sedentary Work: Continuous sitting at desk, keyboard, etc. for several hours. Occasional lifting of under 10 pounds as required.

Physical Activities: List the minimum % of time required for each Physical/Mental Requirement.

Physical/Mental Requirements

<10%

10-30%

31-50%

51-70%

71-90%

>90%

Climbing

X

Stooping

X

Kneeling

X

Crouching

X

Crawling

X

Turning or Twisting

X

Bending

X

Standing

X

Walking

X

Sitting

X

Lifting

Carrying

X

Pushing

X

Pulling

X

Reaching

X

Grasping

X

Feeling

X

General Office Duties

X

Data Interpretation

X

Decision Making

X

Verbal Communication

X

Verbal Comprehension

X

Written Communication

X

Written Comprehension

X

Problem Recognition

X

Problem Solving

X

Hearing

X

Near Visual Acuity

X

Far Visual Acuity

X

Depth Perception

X

Color Vision

X

Smelling

X

Repetitive Motions

X

Supervision

X

Exposure to Hazards:

• Minimal exposure to workplace hazards.

Working Conditions:

• Indoors

Travel Requirements:

Frequency: Minimum

Type of travel: Other (conferences only)

Nature of travel: Other

Acknowledgement and Compliance

All requirements of the described position are subject to change over time where I may be required to perform other duties as requested by NCHC. Further, I acknowledge that this job description is neither an employment contract.

In compliance with the American with Disabilities Act, NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.

Employee Benefits: NCHC Employee Benefits

• Paid Leave Time
• Paid Holidays
• Retirement Savings Plans
• Health Plan Coverage
• On-site Employee Health & Wellness Center Clinic
• MDLive
• Navitus Prescription Drug Plan
• Tria Health Confidential Pharmacy Advocate Program
• Dental Plan
• Vision Plan
• Medical, Dependent Care or Limited Purpose Flexible Spending Accounts
• Income Continuation Insurance
• Short-Term Disability
• Group Term Life Insurance
• Critical Illness Insurance
• Accident Insurance
• Exercise Rewards Program
• Well-Being Program
• Pet Insurance Plan
• Identity Guard
• Employee Discount Program
• Tuition Reimbursement Program
• Employee Referral Program
• Employee-Assistance Program