Account Representative
Memorial Health Administrative Building
Springfield, IL
Position Summary
Full-Time
Day Shift
Complete billing process of all individual patient accounts for all Clients contracting services with Professional Billing Services. Payments, actual insurance claim submission, account follow-up for payment, collection of self-pay receivables, and referrals to bad debt.
- Position Type: Full-Time
- Hours: 08:00AM – 04:30PM
- Weekends: N/A
Highlights & Benefits
- Paid Time Off (PTO)
- Memorial Childcare
- Mental Health Services
- Growth Opportunities
- Continuing Education
- Local and National Discounts
- Pet Insurance
- Medical, Dental, Vision
- Flexible Spending Account
- 401(k)
- Life Insurance and Voluntary Benefits
- Employee Assistance Program and Colleague Wellness
- Adoption Assistance
Required Skills
- Insures the accuracy and validity of the demographic and insurance information.
- Post insurance and/or personal payments as well as adjustments as directed and indicated on EOB’s, balancing input amounts against the control totals for the individual accounts upon completion of entry.
- Processes and complete daily deposits prior to 2:00 pm daily.
- Review and process all health insurance claims received daily.
- Provide insurance forms to patients when requested.
- Researches unpaid Insurance claims and follow-up for reasons of non-payment.
- Establish payment arrangements in line with the guidelines established.
- Respond to patient inquires made by telephone or in writing.
- Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.
- Research and correct edits or errors in claim scrubber system.
- Respond to Client inquiries concerning accounts via telephone or e-mail.
- Demonstrate a professional behavior and provide Excellent Customer Service at all times.
- Performs other duties as assigned.
Required Experience
Education:
- High school graduate or its equivalency is required.
Experience:
- Minimum of one (1) year experience in billing and collections routines, insurance claims processing, and data entry preferred.
- One (1) year experience working with physicians and/or patients on an ongoing basis or its equivalency is preferred.
- Minimum of one (1) years of experience or its equivalency with personal computers.
- Minimum of one (1) year of telephone collection experience as a medical debt collector is preferred.
Other Knowledge/Skills/Abilities:
- Strong communication skills are required
- Understanding of CPT, ICD-9 or ICD-10 coding, and Medical terminology preferred.
- Understanding of insurance forms UB04, HCFA 1500 and Medicaid forms.
- Understand and interpret Explanation of Benefits (EOB’s).
- Required to use 10-key numeric pad.
- Capable of typing 30-40 wpm preferred.
- Limited physical requirements, primarily sedentary. Will occasionally have to lift small boxes weighing up to 50 lbs.
Springfield, IL
