Patient Account Representative

Full Time
Arden Hills, MN 55112
Posted
Job description

Nystrom & Associates, Ltd. is a team of mental health professionals that specialize in psychiatric evaluations, clinical social work, and family therapy. We are committed to helping patients in our community who are experiencing personal, emotional, marriage, family or psychological problems. Founded in 1991, we offer an intensive outpatient chemical dependency program, psychological testing, and behavioral health and medication management services.


We are currently seeking a full-time Patient Account Representative to join our Arden Hills Business Office. After training, roughly 90 days, this role would have the option to work fully remote (work from home).


Job Duties:

    Daily review and billing out of provider charges
    Weekly reconciliation of Encounter Reports to ensure all acknowledged appointments are billed
    Communication with providers on all missing billing
    Verifying that claims are billed out properly which includes but is not limited to:
      DX Codes
      CPT Codes
      Provider Credentialing
      Insurances
      Modifiers
    Manage Assigned Task baskets
    Entering all charge by deadline dates – 3 deadlines per month
    Professional communication with providers and business office staff
    Re-billing and/or Void & Re-enter claims as requested by management or providers
    To include required information by the insurance company
    Weekly review of updated insurance information
    Individual cheat sheets to be updated weekly
    Expire non-applicable notes from patient accounts
    Field/Resolve provider/clinic inquires via Email/Task within 24 hours
    Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated
    Bi – monthly running and reconciliation of hold reports to ensure billing is sent out
    Communication with supervisor in regards to any workflow issues
    All other duties as assigned by Management

Job Expectations

    Recognize any errors being made during self-audits for billing charges
      Fixing those errors before sending out claims to insurance companies
    Charges are entered within 24 hours of OP Appointment
    Charges are entered within 48 hours of CB Appointment
    Task baskets
      Inquiries are followed up within 24 hours of creation
      Adjust/Edits are completed within 45 days
    Recognize/report trends and patterns with providers & clinics
    Open communication with Supervisor
    Arrive and leave on time according to assigned schedule
    Attend and participate in biweekly staff meetings and any other meetings and/or training sessions as indicated.
    Note and apply updated and changed insurance or workflow information.
    Communication of any questions and concerns that arise from the meetings

Qualifications:

    Insurance billing and follow up experience; Mental Health experience preferred.
    Familiarity with insurance company guidelines and HIPAA regulations.
    Detail oriented, flexible problem solver; maintains a positive attitude.
    Computer Experience required; Microsoft Windows, Excel, Word, Outlook
    Customer service experience.
    High school graduate or above.
    Strong communication skills
    Flexibility
    Organization

Hours:

Monday through Friday 8:30AM - 5:00PM.


Benefits:

Nystrom & Associates, Ltd. prides itself on the benefits and compensation offered to staff, including:

    Medical, Dental, & Vision insurance with generous employer contribution
    Health Savings Account (HSA)
    Flexible Spending Account (FSA) for applicable medical and dependent care expenses
    Paid Time Off (PTO)
    Paid Holidays
    Flexible Scheduling options are available!
    401(K) Retirement Plan with a generous employer matching program
    Supplemental insurances, such as short/long term disability, cancer insurance, accident insurance, pet insurance, and life insurance
    Tuition discounts at select Universities

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