As a Patient Account Representative for Kootenai Heart Clinics Northwest you will focus on billing, electronic claims submission, follow up and collections of patient accounts.
You may initiate retro insurance authorization requests when necessary, research and analysis, accounting transactions, account refunds and system maintenance functions in order to ensure optimal and accurate reimbursement is collected for services provided.
You will be responsible for bringing accounts to resolution utilizing a variety of computer systems and reports, patient and payer contact, financial counseling, accounting, customer service and collection skills.
Requirements & Minimum Qualifications
Education · A minimum of High school diploma or GED required.
Skills & Experience · Basic bookkeeping principles, statistical reporting, general business procedures, knowledge of registration, collection, and billing rules and regulations are required. · Two years' experience in a similar position in a healthcare field preferred. · Medical terminology, ICD9, CPT4, HCPCS, and coding conventions preferred. · Knowledge of Medicare, Medicaid, and Commercial billing requirements including UB92, 1500, claims and correspondence, Medicaid Claim Inquiry Form (CIF) and Appeals preferred. · Working knowledge of hospital information systems such as Meditech, SMS MS4, or HBOC. · Knowledge of Electronic Billing Software preferred. · Knowledge of how to read and interpret insurance billing and coverage bulletins, HIPAA, EMTALA, ABN, MSP and other payer regulations, remittance advices and explanation of benefits. · Recent experience utilizing a hospital patient accounting system, electronic claims management, and an understanding of billing regulations preferred. · Knowledge of managed care including contract interpretation and validation of appropriate reimbursements.
About Kootenai Heart Clinics Northwest
Kootenai Heart Clinics Northwest consists of a network of locations in Washington, Oregon, Idaho, and Montana. These clinics provide heart patients across the northwest with highest level of comprehensive cardiovascular care available. All Kootenai Heart Clinics Northwest physicians are board certified cardiologists who provide general cardiovascular care. In addition, Heart Clinics patients who require subspecialty care can receive treatment from physicians specializing in electrophysiology, echocardiography, nuclear and invasive or interventional cardiology.
Awards & Recognition - Top 50 Cardiovascular Hospital by Truven Health Analytics. - Kootenai Health was recognized as one of the top hospitals in the U.S. that achieve superior clinical outcomes in cardiovascular care.
About Kootenai Health
Kootenai Health has a solid reputation in the Pacific Northwest and has a rich history that spans nearly 60 years of innovation, achievements, and benchmarks in healthcare. Providing a comprehensive range of medical services, our main campus is located in Coeur d'Alene, Idaho and includes a 292-bed community-owned hospital. We have been recognized among large employers as the No. 1 Best Place to Work in Healthcare by Modern Healthcare magazine, and are regularly recognized by Cleverly and Associates for providing value to our community.
· 2017 Gallup Great Workplace Award - Kootenai Health has been recognized as one of the most engaged and productive workforces in the world!
· Member of the Mayo Clinic Care Network - in 2014 Kootenai Health became the 30th member, a national network of like-minded organizations that share a commitment to better serving patients and their families. Kootenai Health is the first health care organization in the Pacific Northwest to be selected as a member of the Mayo Clinic Care Network, and, like all network members, will remain locally-owned and independent health care provider.
· 3 Time Magnet Designated since 2006 - This designation is nursing's top honor, accepted nationally as the gold standard in nursing excellence. Kootenai was the first hospital in the Inland Northwest to receive this designation and the second in Idaho.
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