Patient Account Representative - Medicare/ Full-Time

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Date posted: 01/18/2019

job description

Patient Account Rep- Medicare, Patient Financial Services, Full-Time job, Days, Albuquerque, NM

We are looking for a Patient Account Representative- Medicare to join our Patient Financial Services team in Albuquerque, NM.

This full-time job is located with   Lovelace Shared Services,  organizational support departments for all Lovelace facilities including Coding, Finance, Health Information Management, Revenue Cycle, Marketing, and the Resource Team.  We are dedicated to exceeding our customers’ expectations in every way.
  Patient Account Representative- Medicare Job Responsibilities:

  • The Patient Account Representative- Medicare is responsible for collecting insurance accounts for government and commercial payers.
  • Manages and reconciles accounts, update and document financial data.
  • Billing Claims- rotate monthly in Batching claims for SSI, work SSI claims daily to ensure that all claims get billed. 
  • Work EPIC claim work queues and Account work queues daily, work 60  accounts daily, respond to emails sent by various Depts. in a timely manner.
  • Insurance Follow-Up/Denials
  • Commercial Insurance Follow Up- Denials/Appeals escalation spreadsheets reviews
  • Medicaid Insurance Follow Up- Credits/Denials/Appeals/ Overpayment Variance

Patient Account Representative- Medicare Education and Experience  Job Requirements:

  • High school diploma or equivalent.
    Preferred: 2-3 years of Professional Billing/Insurance Follow Up and Collections environment, experience with computerized word processing and spreadsheet applications, experience in a hospital or other health setting, prior experience with Hospital Billing, experience in dealing with, both in writing and verbal.
  • ICD-10 and CPT-4 knowledge,
  • Must be able to type 35 wpm
  • 1-2 years of Hospital Billing/Insurance Follow Up and Collections environment
  • Experience as an active team member
  • Experience in multiple tasking in a fast pace environment
  • Have a working knowledge of computer systems and office equipment, should be familiar with Medicare fraud and abuse issues
  • Familiarity with Managed Care, Medicare, Medicaid, Commercial, as well as other payment programs that our patients may question
  • Sound understanding of the contractual adjustment system of posting.

  Why Lovelace?

  •   Named   one   of   the   150    Great    Places   to    Work   in    Healthcare  by  Becker’s  Hospital  Review  
  •   Named    one    of    the    Best    Places    to    Work    by    Albuquerque    Business    First
  • Named Top Workplace by Albuquerque Journal, 2013, 2014 and 2015
  •   Named    to    Modern    Healthcare’s    100    Best    Places    to    Work    five times   since    2008

Lovelace is a drug-free employer with smoke free campuses.

  ID: 5747



job facility

Business Office - Ardent Patient Financial Services

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.