Patient Billing AR Follow-up Representative F/T Day

Inspire health. Serve with compassion. Be the difference.

Job Summary

This is a remote position.

Essential Functions

• Receives and follows up on incoming correspondence and telephone inquiries regarding information for payment 40%

• Clears edits, contacts payers and submits claims via electronic or paper claim submission according to governmental regulations, agency policies, Prisma Health guidelines and timeliness standards 10%

• Reviews patient accounts transaction history to ensure full understanding of next steps. Documents work activity on the patient accounts according to departmental guidelines 10%

• Works and monitors electronic work queues daily resolving any outstanding accounts according to departmental guidelines 10%

• Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements 10%

• Attends required training as appropriate, participates in general or special assignments and performs other duties as assigned 10%

• Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative. Should be cross-trained and proficient operate in any of these roles if the need arises. 10%

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - High School diploma or equivalent OR post-high school diploma/highest degree earned

• Experience - 2 years - Billing, bookkeeping, accounting

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• NA
  

Knowledge, Skills and Abilities

• Knowledgeable of the job functions required for a Cash Posting Representative, Claims Clearinghouse Representative and a Correspondence Representative.

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.