Accounts Receivable Specialist; CBO Rep - PFS

Accounts Receivable Specialist (CBO Rep) - PFS - Full Time

2 days ago Be among the first 25 applicants

This range is provided by Gibson Area Hospital & Health Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$19.00/hr - $25.00/hr

General Summary
The CBO Representative is responsible for accurate and timely billing and follow‑up of all claims to ensure prompt payment from all payers. This would include all communication and research regarding patient accounts with all departments involved.

GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT
To provide personalized, professional healthcare services to the residents of the Communities we serve.

Principle Duties And Responsibilities

• Run required daily reports for preparation of billing follow‑up of patient accounts with all Medicare, Medicaid, Blue Cross, Commercial and all third parties.
• Make outgoing & receive incoming calls and answer inquiries from patients, insurance companies and all other parties regarding the status and billing questions concerning claims.
• Ensure appropriate, accurate/timely follow‑up to all insurance companies based on established policies and procedures.
• Review patient account information received from admissions and outpatient registration. Identify any missing information and determine what avenue to take to insure timely follow‑up.
• Adequately respond to billing questions and provide clarification to customers.
• Develop and maintain appropriate communication with insurance payers, outside agencies and internal departments.
• Appropriately refer all non‑routine issues to management for clarification.
• Accountable for updating and preparing correspondence to customers and insurance payers as necessary.
• Effectively communicate to customers needs with the appropriate level of urgency.
• Process and scan all EOBs/Correspondence received within 2 business days.
• Re‑bill and reprocess all denials and rejections ensuring all avenues are explored to resolve issues with insurance payers.
• Take incoming calls from patients regarding their insurance and billing.
• Process all walk‑ins.
• Resolution of credit balance reports monthly.
• Ability to work with fellow staff in a professional, courteous and respectful manner at all times.
• All other duties assigned by Director of PFS or Executive Director of Revenue Cycle.
• Work the denial program daily.

Entry level

Full-time

Accounting/Auditing and Finance

Hospitals and Health Care

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