Senior Patient Account Representative

Responsible for various activities related to the patient registration process, collection of demographic, financial and insurance information. Screens patients prior to services being rendered, collects co-pays, and renders "self-pay" patients to appropriate financial services when needed. Enters data accurately and ensures prompt service to all patients. Acts as a liaison for other ancillary departments within the hospital. Provides additional direct support to the clinical staff, by assisting in the scheduling and pre-registration of ancillary tests and various other duties.

Work requires a High School diploma or equivalent and three years of prior experience in medical billing required, bilingual preferred. Proficient knowledge of Microsoft Office preferred. Work requires communication skills needed to frequently answer telephone calls and work with multiple interruptions and still sustain positive communication.

Cross training is required for the following functions to safeguard appropriate patient scheduling and billing processes:

• Verify patient insurance coverage and obtain necessary authorizations for procedures and diagnostic tests. Communicate with insurance companies as needed to resolve any issues.
• Obtain accurate subscriber information for the identification of the correct insurance plan code, policy numbers, group numbers, and person identification numbers in the appropriate billing system.
• Enter all charges, modifiers, ICD10'S, and CPT procedure codes as per finance and medical records policy
• Ensure that all operative reports and encounter forms are turned in for billing within the designated timeframes.

St. Joseph's Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization's outstanding physicians, superb nurses, and dedicated clinical and professional staff have made us one of the most highly respected healthcare organizations in the state, the largest employer in Passaic County, and one of the nation's "100 Best Places to Work in Health Care".