Job Type Full-timeDescriptionWHO WE ARE: Spokane Eye Clinic is a physician owned practice established in 1955. We now have grown to more than 26 of the best doctors from around the country. Our providers see 110,000 patients throughout the clinics andperform nearly 12,000 surgical procedures annually. Our patient testimonials are outstanding, and staff enjoy the opportunities for growth throughout their career. Our dedicated in-house trainers have the ability to educate new hires from the basics to the more advanced skillsets required to serve our patients across the practice. This allows us to focus on hiring top talent with, or without, industry specific training.WHY YOU SHOULD JOIN US: We have so much to offer! As a member of the Spokane Eye Clinic family, our employees enjoy a trusting, supportive, and positive work environment. We offer excellent benefits, Health, Dental, Vision, Paid Holiday's, Vacation and Sick Time, 401k, Profit Sharing, LTD, Life/AD&D, clothing allowance and more. Our sight is a crucial part of our everyday lives and being part of a team that contributes to improved eyesight is highly rewarding! SUMMARY STATEMENT & PURPOSE: The patient accounts representative is responsible for participating in any or all aspects of the claims adjudication cycle for patient accounts including, but not limited to, payment posting, claims aging and adjudication, collections, refunds, customer service, phone queue, and other billing functions. ESSENTIAL DUTIES & RESPONSIBILITES:
Demonstrates excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.Interacts with patients daily to include answering multi-line phone or direct patient contact.Research patients' questions about accounts; adjusts patients' accounts; responds to written correspondence from patients; researches and reconciles credit balances for accounts. With exceptional attention to detail, performs medical billing functions to third party payers; reviews itemized bills to verify accuracy and completeness of charges; research denied or incomplete bills; researches and resolves minor patient complaints. Responsible for identifying and adjudicating aged claims for third-party payers and patient accounts. Ensures that all third-party and self-pay payments, adjustments, and denials are posted to facilitate timely, accurate management of accounts receivable. Investigates codes in which insurance companies disallow reimbursement; corresponds with third-party insurance companies and recommends appropriate reimbursement levels.Receives all insurance checks; runs daily tapes on insurance voucher checks; receives and sorts business office mail; interacts with patients daily in billing phone queue. May contact and arrange payment plans for overdue balances through direct patient contact and processing of collection accounts.Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form; and demonstrate ability to deal with problems involving ambiguity.RequirementsMINIMUM QUALIFICATIONS
- One (1) year related training and/or experience
- Business math ability to include addition and subtraction, with or without a calculator, and an ability to reconcile daily balances.
- Proficient in Microsoft Office products including Word, Excel, and Outlook and ability to learn other software programs as needed.
- Must be able to type a minimum of 40 wpm while maintaining accuracy.
PREFERRED QUALIFICATIONS
- College degree in related field
- Knowledge of insurance guidelines and medical billing
- Certified Professional Coder (CPC)
ENVIRONMENT & PHYSICAL DEMANDS : The work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals to perform the essential functions.
- This position is exposed during a shift to constant or intermittent sounds at a moderate level; stressful situations at a medium to high level; atmospheric exposures including dusts, fumes, vapors, or mists that could affect the occupational health of the employee.
- Regularly required to stand, walk, lift, pull/push, carry, grasp, reach, stoop/crouch, talk, and hear. Frequently required to sit. Occasionally required to climb or crawl.
- The employee must be able to lift and/or move a minimum of 15 pounds.
- Specific vision abilities required by this job include close vision; ability to clearly see 20+ feet, with or without corrective lenses; peripheral vision; depth perception and ability to adjust focus.
Salary Description $18.20 - $27.30