Patient Accounts Representative- Insurance Biller Assistant

Department:
Patient Accounting Employment Status (Full Time Equivalent):
Full-Time (1.0 FTE)- 80 hours per pay period

Benefit Status:
Full-time Benefits include

Health, Dental, and Vision Insurance Employee Health Clinic (health+):
Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan Retirement Savings: (401(k)) - All eligible employees of Alomere Health are automatically enrolled. All eligible employees are able to contribute on a pre-tax and/or post-tax basis and Alomere Health matches up to 6% of employee's contributions.

Please see more details about our benefits here:  thru Friday: 7:00am to 3:30pm (Onsite)
Position Objective:

The Patient Accounts Representative Assistant is responsible for assisting patients and remote working staff. This position must have excellent customer service skills, mutli-tasking and prioritizing abilities, a team spirit, and medical office knowledge.

Essential Responsibilities Navigating insurance websites to verify eligibility, adjudication information and coverage issues pertaining to a specific insurance company.

Read electronic RTE’s (real time eligibility) that come back from the insurance companies and update patient accounts to reflect correct information

Review, document, and mail refunds to insurance companies and/or patients

Able to read an Explanation-of-Benefits and explain the claims processing to patients

Knowledge of a 1500 form and an Uniform Billing form (UB) form Maintain contact with client accounts regarding new and old claims

Reviews and manages work queues to obtain, identify and verify coverage in a timely manner

Supply cost-share patients with a claim form and detailed bill, then adding self-pay discount to charges

Print Professional Billing (PB) claim run out of EPIC daily

Perform Hospital Billing (HB) claim count daily

Assist the Reception/Admitting staff when they call with questions on the different types of insurances.

Responding to patient questions to resolve billing questions and concerns. Forwarding unresolved issues to the appropriate party and documenting all phone calls electronically.

Providing detailed bills to our Release-of-Information Send requested medical records to insurance companies

Calling on updates for outstanding disputed claims

Assisting the Billing Team by answering incoming phone calls or mailing appeals as needed

Other Responsibilities Perform all other related duties as assigned in a professional and responsive manner

Demonstrate the ability to use relevant equipment

Support, understand, and promote Alomere Health’s mission, vision, values, policies and procedures

Ability to meet the work schedule requirements with flexibility dependent upon the needs of the department

Foster respectful working relationships with professional colleagues, patients, families, and general public regardless of age, gender, lifestyle, culture, beliefs, race, socioeconomic class, or ability

Required Qualifications High School Diploma or Equivalent

Preferred Qualifications Medical Administrative Assistance Program or Equivalent Experience Knowledge,

Skills and Abilities

Compliance
- Understanding and ability to apply HIPPA rules and regulations.

Union Position No