Medical Equipment Billing Rep

Ephrata, PA | Clerical and Administrative | Tracking Code: 73941

Job Description:

Under general supervision, manages patient accounts in an accurate and timely manner to include accounts receivable follow up, claims submission, and patient charts.

 

Duties and Responsibilities

Essential Accountabilities:

  1. Responds to mail received from insurance companies requesting additional information within 5 days.
  2. Rebills claim as indicated by insurance company or patient, making sure that initial problem is resolved.
  3. Researches and recommends to supervisor third party adjustments or collection follow up.
  4. Performs accounts receivable follow up on unpaid accounts using procedures determined by size of the claim.
  5. Follows procedures on documentation of any A/R activity.
  6. Maintains majority of A/R accounts in 90 days or less category.
  7. Works with patients on payment plans and monitors for compliance.
  8. Runs daily posting report and verifies that it matches their daily deposit and submits to supervisor.
  9. Receives and accurately applies money within one working day. Makes appropriate adjustments related to posting of money.
  10. Responds to rejections, non-payments, and inquires on patients’ accounts.
  11. Sends out invoices within one working day.
  12. Demonstrates knowledge of payor regulations.
  13. Researches and resolves payer issues: makes appropriate calls to insurance carriers.
  14. Enters New or updated patient data into computer accurately.
  15. Finishes work on a daily basis as per weekly review by supervisor.
  16. Collects required medical documentation according to guidelines and regulatory agencies.
  17. Verifies electronically if patient had same or similar product in the last five years.
  18. Completes forms if information is missing as required documentation.
  19. Verifies that patient data is correct with every patient interaction.
  20. Always has current authorization number on file for insurance companies requiring information.
  21. Follows up on expired authorization within 48 hrs.
  22. Always takes referral orders while transcribing information correctly.
  23. Always verifies insurance coverage before delivery
  24. Always informs patient of financial responsibility before delivery.
  25. Medical Equipment Billing Representative
 

Qualifications

  • Minimum Experience:
    • 1 – 2 years (Customer Service and Billing experience)
  • Minimum Education:
    • High School or G.E.D.
  • Preferred Experience:
    • Preferred Experience AP/AR experience
    • Healthcare Billing experience
    • EPIC experience
  • Skills:
    • Excellent communication/interpersonal skills; insurance knowledge; computer skills.
Best of the Best Awards
Similar Opportunities
Share

Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Lancaster City was the capital of Pennsylvania from 1799 to 1812. Today, Lancaster County includes a vibrant downtown business district, desirable suburban neighborhoods and sprawling agricultural farms. Life in Lancaster County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, an independent professional baseball team, fine dining and more. When visiting Lancaster, one can't help but recognizing the influence of the Pennsylvania Dutch — farm-to-table and beyond.

Conveniently located in southcentral Pennsylvania, Lancaster is within an easy commute to major cities and has ready access to public transportation. Residents can find local employment in healthcare, tourism, public administration, manufacturing, and both professional and semi-professional services. (Patient population: 535,000)