Patient Account Representative - Behavorial Health

Community Health Network Indianapolis, IN
Job Location

The Patient Account Representative position is located in Indianapolis, Indiana

Job Duties

* The Patient Account Representative primary responsibilities support the patient accounts department by communicating with insurance companies, utilization review staff, and clinical staff regarding claim and reimbursement issues

* Primarily focused on reimbursement for Medicaid, Managed Care, A/R, MDwise and other payers

* Knowledge of governmental and third party payer billing and reimbursement methodology necessary

* Availity Management per assignment

* Verifies and updates insurance information as required

* Manages unpaid claims reports

* Review and manages underpayment reports

* Appeals on denied claims as deemed necessary and appropriate

* Manages daily/weekly/monthly reports

Experience

* Two years' experience in a healthcare hospital or office setting

* General working knowledge of professional and facility coding for both CPT and ICD-10

* Behavioral Health billing and claims follow up experience preferred

Education

High school diploma or GED equivalent

Skills

* Knowledge of ICD-10 codes and computer software

* Knowledge of Microsoft Excel, including linking multiple spreadsheets and workbooks, three dimensional formulas and worksheet grouping

* Accurate data entry

* Detail orientated in fast-paced environment

* Excellent written and verbal communication skills

* Knowledge of patient accounting which includes billing, insurance reimbursement requirements

* Ability to interact with all types of customers

Keywords

Patient Accounts, Behavioral Health, Billing, Medicaid, Managed Care, A/R, MdWise

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them - in hospitals, health pavilions and doctor's offices, as well as workplaces, schools and homes. Exceptional care, simply delivered.

Community is a non-profit health system that is deeply committed to the communities we serve with more than 200 sites of care and affiliates throughout Central Indiana. Guided by our PRIIDE Values - Patients First, Relationships, Integrity, Innovation, Dedication and Excellence - our team of caregivers is committed to providing an exceptional experience with every life we touch.