PB Patient Account Representative II

Wellmont Health System Kingsport, TN
* Position responsible for following up on Insurance unpaid claims, as well as claim denials. Maintains daily productivity within Charge, Claim, and Follow-up WQs within EPIC to ensure proper handling of accounts receivable that supports that maintains job duty daily productivity goals. Works as a liaison with the Provider clinic sites to assist with coding/billing education as well as answering patient coverage question, verification of medical necessity. Interacts with patients/customers in a professional manner, responding to customer inquiries and providing information concerning patients accounts. Assists with procedural and diagnostic coding and/or error resolutions. Performs necessary follow up, as outlined in departmental policy and procedures, on patient accounts. Utilize all possible resources to conduct follow up with patients and insurance carriers to resolve final resolution of account. Must possess computer system knowledge based on specific job duties as well as knowledge of insurance and third party billing practices and reconciliation, as well as full understanding of CPT, ICD-9/ICD-10 and HCPCs codes and coding guidelines.. Completes follow up on all work file accounts on a daily basis or as deemed appropriate by department leadership.

HS Graduate. Minimum of two years working in Provider billing environment. CPC (Certified Coder), CPAR (Certified PAR), or CPB (Certified Biller) certificate is preferred, but not required.

CPR is required for any RN, LPN, PCT, Patient Transporter or other direct patient care provider. Emergency Department, Intensive Care Units, PACU, Medical Emergency Team and Anesthesia require ACLS. Pediatrics, SICU, Emergency Department and Medical Emergency Team also require PALS.