Baptist Health Care Looking for Account Representative I – Charge Entry at Pensacola, FL  Full Time

Job Description

The Account Representative I- Charge Entry is responsible for verifications by contacting patients or insurance carriers of charges received, adding demographic including insurance information and entering CPT and ICD-9 codes to the practice management system.

Responsibilities

• Manages work flow and achieves monthly goals of productivity.
• Runs reports on outstanding Encounters for charge capture.
• Checks batches as they are received in the CBO and prioritizes functionality to stay within acceptable departmental guidelines.
• Communicates with clinics and supervisor for receipt of missing charges at end of month. Checks accuracy of batches received from clinics for missing or incorrect information.
• Communicates with physician billing liaison and manager in order to assist practices. Reviews charges for appropriate modifiers and coordinating diagnosis. Communicates with coding department for necessary corrections on diagnosis.
• Gives incorrect encounter form to Charge Entry Supervisor to return to clinic for other corrections.
• Balances batches with payments for accurate posting of copays and patient payments. Verifies insurance information, enters into practice management system appropriately.
• Maintains information received from coding department to accurately post CPT and ICD-9 codes.
• Sends any necessary copies or supporting documentation required by insurance companies and patients.
• Answers healthcare account questions in a clear and polite manner; pulls transaction files/computer files as necessary to answer questions. Forwards all unresolved complex/problem questions to Supervisor, Business Services Manager, or Director of Physician Enterprise Business Operations.
• Assist in other duties as assigned to support the operational needs of the department and organization.
• May be required to remain on campus immediately before, during, and after severe weather and/or disasters.

Qualifications

Minimum Education

• High School Diploma or Equivalent Required

Minimum Work Experience

• Six (6) months of relevant revenue cycle experience Required
• Experience in a healthcare insurance billing Preferred

Required Skills, Knowledge and Abilities

• Effective written and verbal communication skills.
• Knowledge of Medicare regulations.
• Knowledge of coding.
• Microsoft Excel, specific applications to use PC applications to achieve work goal.
• Operate office applications: email, fax module, scan PDF.
• Ability to work in fast paced work environment, meeting deadlines, organized, time management, and conforming to standards.
• Knowledge of billing processes, audit techniques, registration, patient collections, and health care financial regulations.
• Ability to work in team structure.
• Data entry including 10 key calculator.
• Ability to manage large data volume.

About Us

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.