Patient Accounts Representative

TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us.

What we Offer:

• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K (Discretionary matching funds available)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:

This position is responsible for reviewing unpaid invoices assigned in ETM System on all carriers. Maintains accuracy and production to ensure invoices are being processed effectively.

This role is on-site with the potential for remote work after training and if goals are attained.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Reviews ETM worklist to identify potential problem areas
• Contacts appropriate carriers to inquire on unpaid claims via websites and/or phone calls
• Reviews AR trends to report any consistent errors identified that affect claims from being processed correctly
• Maintain knowledge of ETM system
• Participates in monthly meeting with No Response/Billing Supervisor
• Communicates with No Response/Billing Supervisor for unusual circumstances that may include adjustments, denials, fee schedules, claims, etc.
• Performs any and all duties as directed by Senior Representative, No Response/Billing Supervisor and Accounts Receivable Manager

QUALIFICATIONS / EXPERIENCE:

• High school diploma or equivalent required
• Minimum two years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable
• Demonstrated knowledge of physician billing and health care reimbursement; Medicare and Medicaid preferred
• Knowledge of ICD-10 and CPT-4 coding
• Excellent oral and written communication
• Must be computer literate; Microsoft Office preferred
• Excellent follow-up skills
• Excellent organizational skills

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

Job Requirements: