Sr Patient Accounts Rep - Patient Accounting - Full-Time

The Sr. Patient Accounts Rep reviews assigned A/R to analyze and resolve a variety of complex billing issues. Works closely with doctors and their staff, governmental agencies, managed care companies, third-party insurance companies, and various departments/hospital clinics to resolve billing and reimbursement issues. Needs to understand the Health Information System data flow to reconcile system adjustments applied to patient bill. Responsible for understanding all aspects of Medicaid/Medicare billing to file claims with appropriate revenue, CPT4, and HCPCS codes. Takes appropriate action steps to resolve patient, coworker, management requests and revise corrected and adjusted claims. Responsible for reviewing and making necessary contractual adjustments to Patient Accounts according to Medicaid/Medicare payment methodology. Responsible for working assigned A/R in order to bring account closer to completion. Performs other duties as assigned by department management according to policies and procedures and the mission of Woman's Hospital.
Requirements:

• High school diploma or equivalent.
• Five years hospital or healthcare business office experience with insurance, pre-certification, billing and collections.
• Experience with Medicaid and Medicare programs in Louisiana.
• Epic experience preferred.

Responsibilities:

• Explain details of accounts to patients, insurance companies, Medicare, Medicaid, managed care, and other third parties in an accurate, concise and professional manner.
• Input and record comments and requests for other departments or individuals daily in order to bring account activity closer to completion.
• Work assigned A/R timely utilizing the Huron Quic/Trac software.
• Respond to and resolve all legitimate patient and visitor concerns and/or problems as soon as possible after notification.
• Review claims for irregularities, accuracy and completeness notifying manager of any corrections needed to Meditech/Huron system.
• File all billable hardcopy claims appropriately and within one day of receiving file and/or documentation.
• Utilizes the Huron Quic/Trac software, reviews denials assigned and takes necessary action in a timely manner by notifying manager of any negative trends.
• Refile any claims as needed on the electronic vendor system to receive optimal Medicaid/Medicare and/or commercial reimbursement.
• Any other duties as assigned by Woman's Hospital.

Schedule:
Full-Time; Monday - Friday
7:30 AM - 4:00 PM
Pay Range:
Hourly/Non-Exempt
$15.00 - $21.00
A Work Experience with Purpose
Woman's is one of the largest specialty hospitals for women and infants in the United States. We are recognized throughout the country for our innovative programs, and we pride ourselves in surpassing the expectations of those we serve. Providing exceptional patient care and creating exceptional patient experiences are at the center of what we do at Woman's. Our team consistently exceeds state and national benchmarks for patient satisfaction.
Our employees, organizational culture, mission, vision, values, and benefits make Woman's a best place to work. In fact, for the16th year in a row, Woman's has been recognized as aBest Place to Work by Modern Healthcare- making us the only healthcare organization to earn the distinction every year since the program's inception. We are proud of the level of care our staff provides to our patients and each other.
If you have any questions or would like to connect with one of our recruiters directly, please e-mailhrjobs@womans.org.
We are an equal opportunity employer and value diversity and inclusion at Woman's Hospital. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law.