Patient Account Specialist Senior-Onsite

8682023 Patient Account Specialist Senior-Onsite, Lake Charles, LA 3 Months
Sigma Inc. is currently looking for a Patient Account Specialist Senior to work onsite with our team in Lake Charles, LA

Shift Timings: Monday-Friday

The Patient Account Specialist Senior is responsible for the accurate and timely billing and collecting of physician services

Summary:

• Responsible for performing billing, A/R follow-up and credit balance resolution activities which result in claim payment. Identifies trends and their root cause to improve the effectiveness and efficiency of the physician revenue cycle.
• Provide excellent customer service to market personnel, insurance carrier representatives and patients.
• Document all follow-up efforts in practice management system. Assists with patient education concerning insurance plan.
• Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI). Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control. Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.
• Supports and adheres to CHRISTUS Health Service Guarantee.
• Performs all other duties as assigned

Requirements:

• High school diploma or equivalent; college course work a plus.
• Ability to operate telephone, computer, copier, fax machine and 10-key calculator by touch.
• Effective oral and written communication skills Detail oriented.
• Ability to work independently and as part of a team.
• Minimum three years of physician billing experience.

Candidate must possess the following:

• Extensive knowledge of CPT, HCPCS and ICD-9 coding principles in a multi-specialty physician practice.
• Thorough understanding of government and commercial payer guidelines as well as reimbursement methodologies.
• Ability to successfully perform all aspects of the physician billing cycle including initial claim submission, payer rejection resolution, denial follow-up, secondary appeal and refund processing.
• Advanced understanding of medical terminology