Patient Financial Services Representative 4 – Medicare Claims

🕒 vor 4 Tagen

🏛️ District of Columbia, Florida, +9 weitere Bundesländer – Remote

🏛️ District of Columbia – Remote 🐊 Florida – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

💸 Finanzplanung und Analyse (FP&A)

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Inova Health

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10.000+ Mitarbeiter

Inova ist der führende gemeinnützige Gesundheitsdienstleister in Nord-Virginia und bietet erstklassige klinische Exzellenz für alle in unseren Gemeinden mit einer warmen, menschlichen Note. Unsere über 22.000 Teammitglieder arbeiten zusammen, um individuelle und gruppenbezogene Gesundheitsziele in Partnerschaft mit jedem der über 2 Millionen Individuen zu erreichen, denen wir jährlich das Privileg haben zu dienen, durch die Behandlung von vielfältigen Fachbereichen wie Krebs, Neurologie, Gynäkologie, Neonatologie und vieles mehr. Die Ergebnisse sprechen für sich: Die Pflege von Inova wird konstant von den Centers for Medicare and Medicaid Services (CMS), U.S. News & World Report Best Hospitals, Leapfrog Hospital Safety Grades für Exzellenz und dem American Nurses Credentialing Center anerkannt. Ob es darum geht, alle gesund zu halten, Krankheiten zu behandeln oder Verletzungen zu heilen, wir haben die Fähigkeiten und das Mitgefühl, um jeden Bedarf zu decken. Wir sind Inova: Ihr Gesundheitspartner, für Ihr Leben.

Beschreibung

• Ensures that all clean claims are submitted the day they are received, submitted via the appropriate medium, and with all required attachments. Serves in the place of the supervisor or manager in their absence. • Resolves complex issues either through individual actions or by coordinating information/actions of other team members, Patient Accounts staff, other hospital departments, or at the payer level. Seeks assistance from supervisor when needed. • Ensures that claims are reviewed, corrections are identified/made or resolutions are initiated within 24 hours from the date that claims are received. Identifies the need for and provides support/guidance to other team members to promote their efficiency and productivity. • Handles complex and/or highest dollar accounts while providing appropriate follow-up based on established protocol or SRGs. • Ensures appropriate and timely documentation of all account activity while appropriately handling all correspondence within 48 hours of receipt. • Documents activity in HealthQuest and TRAC and ensures that documentation is professional, appropriate, accurately depicts actions performed, and is in accordance with departmental quality review standards. • Works payer response reports and rejection reports while ensuring they meet departmental productivity and quality review standards. Maintains knowledge of payer requirements, UB-92 standards, system (Hospital, clearinghouse, payer) functionality, and hospital policies and procedures. • Takes direction from management to resolve issues in addition to providing support, education, and guidance to team members. Performs duties, as assigned, in the absence of the supervisor or manager. • May perform additional duties as assigned.

🎯 Anforderungen

• Education: Associate Degree or an additional three years of experience appropriate to the position under consideration • Experience: 3 years of Experience in revenue cycle, finance, customer service or data analytics

🏖️ Vorteile

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. • Retirement: Inova matches the first 5% of eligible contributions – starting on your first day. • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans. • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. • Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules