Patient Accounting Representative; Full-time, Maui Health
Kaiser Permanente
Patient Accounting Representative; Full-time, Maui Health
Job Description
Job Summary:
Patient Account Representatives perform billing and follow up for hospital or professional claims. This includes accurate and timely submission of claims and insurance follow up, according to State & Federal regulation and payer guidelines. Also resolves denials and does reimbursement analysis to ensure maximum reimbursement was received according to payer contractual agreements.
Essential Responsibilities:
- Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements.
- Expedites larger dollar accounts to ensure revenue optimization for prompt payment.
- Follows up timely on payment with insurance companies, agencies, payers and/or patients ; researches and takes action as required on outstanding accounts.
- Audit payments and appeals (as needed) to ensure Maui Health has received corrected, expected payment from payers in accordance with contract terms.
- Responds to patient and insurance inquiries promptly and courteously.
- Performs audits as needed for quality control and to ensure efficient follow up.
- Collects monies owing for all services rendered, including third party payers, employers, and guarantors.
- Document all actions into account notes.
- Resolves payer denials, including submission of appeals as needed.
- Communicates timely and appropriately with Team Lead/Supervisor to identify and resolve payer/claim submission issues.
- Analyzes and takes appropriate action steps according to MHS protocols.
- Strives to achieve targeted benchmarks and exceed collection goals for prompt account resolution.
Locations
- Wailuku, Hawaii, United States
Salary
Estimated Salary Rangemedium confidence
90,000 - 150,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- billing and claims submissionintermediate
- insurance follow-upintermediate
- denial resolutionintermediate
- reimbursement analysisintermediate
- auditingintermediate
- appeals submissionintermediate
Required Qualifications
- knowledge of State/Federal regulations (experience)
- payer guidelines compliance (experience)
Responsibilities
- performs billing of claims
- follows up on payments
- audits payments and appeals
- responds to inquiries
- collects monies owed
- resolves denials
- documents account actions
Tags & Categories
Answer 10 quick questions to check your fit for Patient Accounting Representative; Full-time, Maui Health @ Kaiser Permanente.
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~2 Minutes
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Patient Accounting Representative; Full-time, Maui Health
Kaiser Permanente
Patient Accounting Representative; Full-time, Maui Health
Job Description
Job Summary:
Patient Account Representatives perform billing and follow up for hospital or professional claims. This includes accurate and timely submission of claims and insurance follow up, according to State & Federal regulation and payer guidelines. Also resolves denials and does reimbursement analysis to ensure maximum reimbursement was received according to payer contractual agreements.
Essential Responsibilities:
- Performs accurate and timely billing of insurance claims in accordance with policies and procedures of Maui Health and in compliance with State/Federal regulations, payer health plan guidelines, and third-party payer requirements.
- Expedites larger dollar accounts to ensure revenue optimization for prompt payment.
- Follows up timely on payment with insurance companies, agencies, payers and/or patients ; researches and takes action as required on outstanding accounts.
- Audit payments and appeals (as needed) to ensure Maui Health has received corrected, expected payment from payers in accordance with contract terms.
- Responds to patient and insurance inquiries promptly and courteously.
- Performs audits as needed for quality control and to ensure efficient follow up.
- Collects monies owing for all services rendered, including third party payers, employers, and guarantors.
- Document all actions into account notes.
- Resolves payer denials, including submission of appeals as needed.
- Communicates timely and appropriately with Team Lead/Supervisor to identify and resolve payer/claim submission issues.
- Analyzes and takes appropriate action steps according to MHS protocols.
- Strives to achieve targeted benchmarks and exceed collection goals for prompt account resolution.
Locations
- Wailuku, Hawaii, United States
Salary
Estimated Salary Rangemedium confidence
90,000 - 150,000 USD / yearly
Source: ai estimated
* This is an estimated range based on market data and may vary based on experience and qualifications.
Skills Required
- billing and claims submissionintermediate
- insurance follow-upintermediate
- denial resolutionintermediate
- reimbursement analysisintermediate
- auditingintermediate
- appeals submissionintermediate
Required Qualifications
- knowledge of State/Federal regulations (experience)
- payer guidelines compliance (experience)
Responsibilities
- performs billing of claims
- follows up on payments
- audits payments and appeals
- responds to inquiries
- collects monies owed
- resolves denials
- documents account actions
Tags & Categories
Answer 10 quick questions to check your fit for Patient Accounting Representative; Full-time, Maui Health @ Kaiser Permanente.
10 Questions
~2 Minutes
Instant Score
Related Books and Jobs