Patient Account Biller
Mercy Care

Employment Type:
Full time
Shift:
Day Shift

Description:

Position Summary: Responsible for Patient Accounting for Saint Joseph's Mercy Care Services and affiliates. Ensures that insurance companies are billed timely for services provided by Mercy Clinic and Mercy Clinic Downtown. Posts payments utilizing Patient Accounting Software. Stays current regarding federal government billing requirements and provider requirements. Produces Aging Report, follow-up on past due accounts, and rejected claims. Notifies Department Director or Manager as needed regarding billing and claim processing. Facilitates Provider Enrollment with Physician Staff. Responsible for the integrity and confidentiality of patient account financial and medical records. Performs General Ledger Accounting duties to include journal entry and workpaper preparation. Maintains organized filing system. All other duties as assigned by Manager.

The employee will adhere to all applicable federal and state laws, local ordinances, standards of regulatory agencies as well as requirements of federal, state and private health plans within the department/service and the health center. Which includes the participation in the Compliance Program that reduces the risk of unlawful or improper conduct within the department/service and the health system, and also the employee is charged with the prevention, detection, and resolution of conduct that does not conform to applicable federal and state laws, local ordinances, standards of regulatory agencies as well as health care program requirements of federal, state and private health plans.

Include the following statement, as appropriate, for positions needing age specific competency assessment:

*Provides patient care and/ or support activities appropriate to ages served; primarily adults ages 18-65 or geriatric patient's ages over 65. May also include care for infant age 0-1 year, child ages 1-12 years or adolescent ages 13-17 years.

EDUCATION REQUIREMENTS:. Minimum high school diploma or equivalent; or 3 years of experience in Customer Service, preferably in healthcare patient accounting. Advance CPAR and Associates degree preferred.

CERTIFICATION REQUIREMENTS: Certification in Financial Counseling preferred.

EXPERIENCE REQUIREMENTS: Minimum of 3 years' experience in Patient Accounting including Customer Service. Demonstrated experience and efficiency in analyzing accounts for problem resolution. Must have knowledge of Medicare, Medicaid, Managed Care, Blue Cross, Commercial Carriers, and Private Pay accounts. Must be computer literate with ambulatory information data systems including experience with automated telephone software. In addition, a working knowledge of Microsoft Office with demonstrated proficiency in MS Word, Excel, Outlook, and other operational supporting software is required. Professional demeanor, with strong verbal and written communication skills.

Bilingual competence may be required, preferably in Spanish and/or Vietnamese.

JOB KNOWLEDGE Knowledge of third-party medical insurance contracts, Fair Debt Credit and Collection Act, Government Payer Compliance Regulations, Federal and State billing requirements, customer service, phone etiquette, and basic accounting skills.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.