JOB REQUIREMENTS: Overview Specialty Group Rep, Patient Financial
Services, Days, 80 Hrs/2 wks Location: Janesville, WI, OR Rockford, IL
OR hybrid remote Schedule: Monday - Friday; flexible work schedule
available after training period Responsible for billing and resolving
all balances on Workers Compensation, Third Party Liability, Hospice,
Skilled Nursing Facilities, Occupational Health and other specialty
service accounts in the hospital and physician billing systems, in
addition to handling all inbound calls and making outbound calls related
to these areas. This representative will have knowledge of all aspects
of revenue cycle processes from the registration process through the
billing and collection process. Performs other duties as assigned.
Responsibilities Research and preform audits on patient accounts to
determine balances are being billed to the correct payer. Thorough
understanding of how to identify if charges on a patient\'s account are
correct. In depth understanding of what information is available to
assist in the process, such as the medical records, chart view, MPI,
etc. In-depth understanding of collection laws pertaining to worker
compensation and third party liability claims. Become fluent and
knowledgeable in the Single Billing Office environment within Epic
Maintains a working knowledge of common billing and account resolution
practices and requirements for hospital and/or clinic billing (SBO).
Knowledge of how to work a claim from beginning to end Learn and create
in-depth knowledge of all applications used by Patient Financial
Services partners such as: Epic, Agility, Connex, Kronos, OneSource,
Microsoft Word, Microsoft Outlook, Claim source, On-Base, etc.
Identifies the correct filing order per department processes when
multiple insurances are involved Responds to inquiries from patients,
insurance companies, attorney offices and outside vendors via mail,
phone and/or email. Responds to inquiries regarding credit balances on
Workers Compensation, Third Party Liability, Hospice, Skilled Nursing
Facilities and Occupational Health accounts and initiates the refund
process in the event monies are due back to the payer or patient.
Responds to Billing reviews/ inquiries from other PFS groups such as
Billers, Follow-up, Cash posting and Customer Service. Documents all
encounters on appropriate patient account/claim utilizing notes. Ensures
account is updated to accurately reflect the current status. Protects
privacy and confidentiality of customers, patients and partners in
accordance with Mercyhealth policies, the Code of Ethics and HIPAA laws.
Review all Work Comp, TPL and personal injury settlement requests before
sending them to the Supervisor. Work special projects and other job
duties as assigned Verifies claims are received by the payer and
follows... For full info follow application link.
EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity
employer functioning under Affirmative Action Plans. *****
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/7D0DC8ED2BBA45CE