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Northern Light Health

Department: Patient Financial Services

Position is located: Cianchette Professional Blding

Work Type: Full Time

Hours Per Week: 40.00

Work Schedule: 8:00 AM to 4:30 PM

Summary:

Patient Account Representative is responsible for patient account management including coding, claims submission, payment posting, issuance of refunds, payer interaction, denial management and other tasks as assigned related to the revenue cycle.

Responsibilities:

+ Reviews and evaluates billing or payment postings

+ Investigates problems and takes appropriate corrective action.

+ Advises supervisor of any suspected system deficiencies.

+ Completes mandatory training, reads all required policy/procedure books yearly.

+ Evaluates requisitions for appropriateness of billing type and test requested.

+ Follows all billing protocols, while making a minimum amount of errors.

+ Enters data into system completely and accurately.

+ Calls physician's office to obtain the diagnosis, symptom or sign if none is indicated on the requisition.

+ Properly use the "GA" modifier for Medicare claims for tests that have a completed "ABN"

Other Information:

Competencies and Skills

+ Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.

+ Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.

+ Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.

+ Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education

+ Required High School Diploma/General Educational Development (GED)

Working Conditions

+ Work with computers, typing, reading or writing.

+ Extend body and limbs to reach items.

+ Lifting, moving and loading 20 to 30 pounds.

+ Prolonged periods of sitting.

+ Prolonged periods of standing.

+ Prolonged periods of walking.

Brewer, Maine, Corporate Office, Cianchette, Foundation, Finance, Human Resources, Legal Services

Position Patient Account RepLocation Req ID 83682