Department: Patient AccountingEmployment Status (Full Time Equivalent): Full-Time (1.0 FTE)- 80 hours per pay periodBenefit Status: Full-timeBenefits includeHealth, Dental, and Vision InsuranceEmployee Health Clinic (health+): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance planRetirement Savings: (401(k)) - All eligible employees of Alomere Health are automatically enrolled. All eligible employees are able to contribute on a pre-tax and/or post-tax basis and Alomere Health matches up to 6% of employee's contributions.Please see more details about our benefits here: https://alomerehealth.com/careers/#benefitsHoursMonday thru Friday: 7:00am to 3:30pm (Onsite)Position Objective:The Patient Accounts Representative Assistant is responsible for assisting patients and remote working staff. This position must have excellent customer service skills, mutli-tasking and prioritizing abilities, a team spirit, and medical office knowledge.Essential ResponsibilitiesNavigating insurance websites to verify eligibility, adjudication information and coverage issues pertaining to a specific insurance company.Read electronic RTE’s (real time eligibility) that come back from the insurance companies and update patient accounts to reflect correct informationReview, document, and mail refunds to insurance companies and/or patientsAble to read an Explanation-of-Benefits and explain the claims processing to patientsKnowledge of a 1500 form and an Uniform Billing form (UB) formMaintain contact with client accounts regarding new and old claimsReviews and manages workqueues to obtain, identify and verify coverage in a timely mannerSupply cost-share patients with a claim form and detailed bill, then adding self-pay discount to chargesPrint Professional Billing (PB) claim run out of EPIC dailyPerform Hospital Billing (HB) claim count dailyAssist the Reception/Admitting staff when they call with questions on the different types of insurances.Responding to patient questions to resolve billing questions and concerns. Forwarding unresolved issues to the appropriate party and documenting all phone calls electronically.Providing detailed bills to our Release-of-InformationSend requested medical records to insurance companiesCalling on updates for outstanding disputed claimsAssisting the Billing Team by answering incoming phone calls or mailing appeals as neededOther ResponsibilitiesPerform all other related duties as assigned in a professional and responsive mannerDemonstrate the ability to use relevant equipmentSupport, understand, and promote Alomere Health’s mission, vision, values, policies and proceduresAbility to meet the work schedule requirements with flexibility dependent upon the needs of the departmentFoster respectful working relationships with professional colleagues, patients, families, and general public regardless of age, gender, lifestyle, culture, beliefs, race, socioeconomic class, or abilityRequired QualificationsHigh School Diploma or EquivalentPreferred QualificationsMedical Administrative Assistance Program or Equivalent ExperienceKnowledge, Skills and AbilitiesCompliance- Understanding and ability to apply HIPPA rules and regulations.Union PositionNo
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