Hospital Patient Account Rep

Prestige Staffing is searching for a contract to potential hire experience Hospital Medical Collection Specialist. The
Medical Collection Hospital Specialist is responsible for the insurance collections, management of denials, insurance claims payment and account resolution. Essential to this position is the ability to manage all Insurance Follow up for maximum insurance reimbursement.  To include outbound and inbound insurance carrier calls, reprocessing claims, drafting appeals, working, and resolving denied claims, transferring balance to Self-Pay when applicable.  The position also requires timely response to requests from the insurance carrier via correspondence for electronically received requests. The incumbent will assist in the clarification and development of process improvements and inquiries, assure payment or account resolution from all sources are recorded and reconciled timely to maximize revenues. 

Pay: $18-22/hr
Location: Midtown, Atlanta  training (30+ days), remote after. *Need to be close enough to facility to go in periodically for meetings and for the first month to be fully trained*
Job Type: Contract to hire 
Schedule: M-F, 8am-4:30pm

Job Requirements:

• Knowledge of medical billing / collection practices required
• Strong keyboard skills.
• Knowledgeable of Excel
• Ability to multi-task
• Strong communication skills written and verbal
• Works well in an environment with firm deadlines; results oriented.
• Perform multiple tasks effectively.
• Able to work both independently and as part of a team.
• Strong analytical skills required.
• Capable of making timely, independent decisions.
• Meeting required Productivity (5 accounts an hour)

• Recent medical hospital collections experience including knowledge of coordination of benefits
•  3 - 5 years’ experience in healthcare UB04 billing & collection practices.
• Experience working with medical payers including BCBS, Commercial insurance, & Workers Compensation.
• Working knowledge of medical billing systems.
• Experience with payer Electronic Eligibility Responses
• Working knowledge of CPT and ICD-10 coding systems; Medical terminology
• Excellent Organizational skills 
• Proficiency in Microsoft Office Suite & Excel

• Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carriers or payers.
• Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carrier.
• Monitors charges for obvious errors.
• Research, appeal, and resolve all unpaid claims. 
• Actively follow up and collect on all electronic claims and paper claims, including resolution of any billing errors assigned following established procedures 
• Timely response to all correspondence received from insurance carrier 
• Accurately documents account history for all accounts with details provided by insurance carrier or payer.
• Maintains a positive relationship with payers while completing appropriate follow-up for payment.
• Coordinate collection process, to include any projects from Vendor accounts.
• Posts adjustments and/or transfer of responsibility, as necessary.
• Communicate appropriately to clinical areas when information is needed that would delay payment
• Obtains medical records from appropriate Release of Information system in a timely manner and ensures all that is needed for payment is attached and submitted as requested.
• Reports any identified issues to management.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Ensures all paper claims are mailed to the appropriate carrier and address.

#zr-rep