Patient Account Rep1

Description

Highlights of your role:

Responsible for reviewing and processing appropriate insurance claims for Inpatient and Outpatient accounts. Assists customers with questions regarding their claim status. Monitors claim flow through WQs and follows up on unpaid claims.

We invite you to join our team as we continue on our commitment of caring for generations.

Since 1915, LifeCare Medical Center has been dedicated to providing quality healthcare in our region. At LifeCare Medical Center, we value every person and take our patient’s healthcare needs seriously. Our employees are the foundation for our success. We’ve fostered a collaborative environment centered around compassion, accountability, respect and excellence. At LifeCare, you will have the opportunity to thrive in a life changing career, within a culture of teamwork, professionalism, and respect. As the third largest employer in Roseau County, LifeCare Medical Center is continually looking for motivated, dedicated, and compassionate leaders who are passionate about delivering the best in healthcare services. We are committed to our communities and take pride in our medical heritage.

Job Details:

Location: RoseauShift: DaysJob Schedule: Monday-FridayHours: 8:00-4:30FTE: 1.0Weekends: Holidays: *Pay Range: $19.48-$27.27

• It is not typical for an individual to be hired at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case and on several factors including relevant work experience, education, certification & licensure, and internal equity. Hourly pay is just one part of the compensation package for employees.

What you’ll get to do in this role:

Responsible for reviewing and processing all insurance forms for inpatient and outpatient services to payers by monitoring WQs daily.

Obtains missing insurance information for any open accounts via websites or phone calls

Runs necessary reports for batches and submits claims to secondary insurance when appropriate

Reviews WQs for outstanding or denied claims and follows up with calls or makes necessary adjustments to re-submit claims in a timely manner

Assists patients with problems concerning their accounts and provides pertinent information

Obtains information for Liability and Workers Comp claims & provides data for WC Interventions

Works with coders on denial trends and potential process improvements

Actively searches for updates to insurance billing practices and implements new changes

You’re an excellent fit, if you have:

• previous experience with insurance claims preferred

• good attention to detail

• good verbal and written communication skills

• problem solving abilities

• knowledge of medical terminology preferred

Benefits statement:

LifeCare Medical Center offers an attractive benefits package for qualifying employees. Depending upon eligibility, we offer a variety of benefits including health, dental, and life insurance. We also offer short and long-term disability, tuition assistance, a 403(b)-retirement plan, and a generous time off package to help employees maintain a healthy work-life balance.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.

LifeCare Medical Center is an Equal Opportunity Employer (EOE)

Qualifications

Skills

Preferred

• Communication: Expert

• Computer: Expert

• Detail Oriented: Expert

• Patience: Expert

• Problem Solving: Expert

• Tactful: Expert

Education

Preferred

• High School or better in General Studies

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.