Patient Accounting Representative - Billing

Halifax Health is seeking a Patient Accounting Representative for our Patient Business and Financial Services Department.

This individual will assist and lead the Patient Accounting Representative team under guidance of the supervisor. Assist in escalated issues with patients, guarantors and third parties on accounts to resolve any questions or concerns towards satisfying account balances with patient/third party liability. Assess all options to patient’s account including payments, contracted payment plans, and financial assistance. Help create worklists and reports to identify account resolution for Patient Accounting Rep team. Help team identify any charity or financial assistance needs; all documentation and coordination with patients will be worked until determination of approval. Document all patient/ third party activity and communication in host systems.

• Minimum high school graduate or equivalent required. Associates or Bachelor’s degree from accredited institution is preferred.
• Minimum of two years experience in healthcare billing and/or business office setting, preferably in hospital billing.
• Must be able to communicate with patients effectively while maintaining customer service expectations.
• Preferred experience in Meditech and/or Athena EMR systems.
• General PC knowledge in business setting is required.
• Must have good oral and written communication skills.

• Process insurance claims in a prompt and accurate manner, meeting all corresponding performance standards.
• Demonstrates the ability to evaluate and resolve accounts by utilizing resources including, but not limited to, bills, remittances, correspondence, worklist and insurance calls in accordance to payer specific guidelines in a timely manner.
• Corrects and processes rejected and hardcopy claims in a timely manner.
• Demonstrates proficiency in the billing systems and accounts receivable systems, keeping abreast of all changes.
• Maintains current knowledge of HCPC and UB04 coding in accordance with specific insurance payer guidelines.
• Assigns appropriate date to follow up with insurance carrier to ensure prompt payment.
• Updates billing and registration systems with any demographic/insurance revisions the same day received.
• Follows up on all denied, rejected and/or pending claims in a timely manner, utilizing all electronic means available.
• Maintains ability to bill specialty accounts which include, but not limited to, cycle bills, audit bills, split bills, DME, carve-outs, in-house denials, SDS, etc.
• Analyze and follow up on any late charges credited or debited on accounts in accordance with established guidelines.
• Ensure account information is current by entering notes, documentation and changes at time of occurrence.
• Research and determines required adjustment information as deemed necessary in accordance with insurance payer.
• Obtains and supplies insurance carriers with necessary account information to expedite payment.
• Meets and/or exceeds production goals as defined.
• Contributes to effective working relationships by demonstrating a positive and helpful attitude in relationships with coworkers and customers.
• Duties as assigned.

Recognized as one of the 50 Top Cardiovascular Hospitals™ in the United States by IBM Watson Health™, Halifax Health serves Volusia and Flagler counties, providing a continuum of health care services through a network of organizations including a tertiary hospital, two community hospitals, urgent care clinics, psychiatric services, a cancer treatment center with five outreach locations, the area’s largest hospice, a center for inpatient rehabilitation, outpatient rehabilitation clinics, primary care walk-in clinics, a clinic specializing in women’s health, a pediatric care community clinic, five pediatric medical practices, a home health care agency and an exclusive provider organization. Halifax Health offers the area’s only Level II Trauma Center, Thrombectomy-Capable Stroke Center (TSC), Center for Transplant Services, Pediatric Intensive Care Unit, Child and Adolescent Behavioral Services, complete Neurosurgical Services, OB Emergency Department and Level III Neonatal Intensive Care Unit that cares for babies born earlier than 28 weeks. For more information, visit halifaxhealth.org.