Patient Account Rep II / Biller

Division: Eskenazi Health Sub-Division: Hospital Req ID: 25234 Schedule : Full Time Shift : Days Eskenazi Health serves as the public hospital division of the Health reading professional publications. Works efficiently under pressure, acts independently, and accepts responsibility for decisions Participates in monthly staff meetings to educate new payor habits and etc. as needed Completes payor appeals based on under payment, timely filing, medical necessity, and prior authorizations Works proactively with departments, and resolves billing and/or issues; resolves Do Not Bill (DNB) errors and warnings, claim edit resolution. Review and maintain AR denials to ensure KPI measurements are met and/or exceeded; KPI's are as follows: maintain AR days under 35, days in credit balance less than 1 day of AR, days in denial less than 1 day of AR, and outstanding claims are billed within 7 days of erroring out in the system Works with management when contract variances are identified Works assigned patient accounts in a credit balance and claims to resolution Performs accurate data entry for required information in the various management systems Completes refund packet within the OnBase imaging system Maintains weekly Excel spreadsheet of refunds processed Researches and resolves issues with balancing and posting of patient revenue within multiple systems Reconciliation of all transactions within the patient accounting system Job Requirements Associate degree in business-related field preferred Two years of accounts receivable experience in a hospital billing environment or two to three years in a financial institution, may be accepted in lieu of formal education Previous denial management with Medicare, Medicaid, and Insurance is a plus Previous experience with billing Medicare, Medicaid, and Insurance is a plus Medical billing and coding certification a plus Knowledge, Skills & Abilities In depth knowledge and the ability to translate code set for billing of federal, state and regulatory laws.

The ability to follow Eskenazi Health Services policies and procedures, and of Indiana State Department of Health regulations Ability to utilize support systems such as Epic, Onbase, NThrive, and/or other software applications Knowledge of Epic Patient Accounting system Ability to use computer -key entry and operate a calculator Extensive knowledge of and ability to research and identify payor billing and reimbursement guidelines Excellent oral and written communication skills with the ability to present information to groups of clinical and non-clinical staff Ability to lead, supervise and motivate personnel Excellent customer service skills Ability to act professionally, be team oriented, and take solution-driven approaches to problem solving for all types of issues High level of professionalism and ethical behavior Knowledge of reimbursement methodologies, payor coverages, State/Federal programs providing healthcare benefits and payments Knowledge of assigned payer(s) billing requirements and regulations Ability to learn software quickly and interpret instruction manuals Must be capable of completing tasks within given time frames and be productive and goal oriented Ability to work independently and within a team with instructions and to deal with problems effectively in collaboration with peers and staff Ability to quickly learn and use payer and hospital patient accounting systems Possess knowledge of Health Care Procedure Codes and Uniform Billing standards Ability to multi-task in a fast paced environment High level of interpersonal, problem solving, and analytical skills Accredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.