(No Diploma Required!) Get Paid $31.53

Affected person Account Consultant II (Distant)

CategoryFinance & Income Cycle Job TypeFull time Job IdR2325968

It is a Stanford Well being Care job.

A Temporary Overview
The Affected person Account Consultant II (PAR II) is answerable for the well timed and correct processing of affected person accounts receivable billing and collections. The particular job duties shall be comprised of a mixture of tasks from among the many numerous areas of PFS operations together with Cost entry and cost batch balancing, Digital and arduous copy claims enhancing and submission to numerous payers (Authorities, Managed Care, and Business), Accounts receivable collections and payer follow-up, Payer denial overview and appeals processing, Customer support, Fee functions, Credit score stability overview and backbone and Affected person advocacy and danger administration. Beneath common supervision, PAR II performs the total vary of duties for this assigned class. Requires a very good working information of programs and processes and be anticipated to resolve commonplace queries and issues. Works on assignments which are reasonably complicated in nature the place judgment is required in resolving issues and making routine suggestions.

Places
Stanford Well being Care

What you’ll do

• Account Reps: Follows up on unpaid accounts in affected person accounting programs with the payers both by cellphone or by way of web sites. Works payer denials primarily based on declare course of adjudication; Assessment accounts for potential underpayments; analysis contracts, tips and resolve cost with payer. Carry out appeals with payer. Performs unhealthy debt request transfers as relevant. Performs or requests adjustment and contractual write offs as relevant.

• Billers: Opinions EPIC worklists and edits accounts as wanted; Opinions Cirius declare edits and resolves edits; Opinions and resolves digital acknowledgement payer rejections/denials; Rebills claims primarily based on requests from Comply with Up reps resulting from denials acquired. Resends declare as wanted.

• Money Posting Reps: Posts funds; Work EPIC undistributed cost worklist; Posts changes associated to funds. Processes refunds for accounts payable. Posts cost transfers from skilled billing to hospital billing.

• Knowledge Management Reps: Enters expenses; Opinions EPIC worklist accounts with cost points and resolves; Researches cost points and follows up with departments as wanted. Full cost correctionsincluding including prognosis, transferring or reversing expenses, combining accounts.

• Affected person Advocacy Reps: Completes and processes charity functions; Opinions and validates excessive greenback self pay accounts earlier than outsourcing to exterior vendor; Handles affected person calls and complaints. Requests referral of accounts to unhealthy debt as relevant.

• Maintains skilled communication with numerous PFS workers, medical middle workers, payors, physicians, and sufferers concerning the billing of companies rendered at Stanford Medical Heart. Communication might encompass phone, correspondence, or in individual contact.

• Meets weekly particular person productiveness objectives and requirements whereas following deliberate priorities as set by the Workforce.

• Supervisor/Coordinator.

Schooling {Qualifications}

Expertise {Qualifications}

Required Data, Expertise and Talents

• Capability to comply with oral and written directions and interpret institutional and different insurance policies precisely

• Capability to assemble, analyze, and show information in acceptable format and maintain correct data

• Capability to take care of confidentiality of delicate info

• Capability to carry out fundamental arithmetic

• Capability to plan, prioritize and meet deadlines

• Capability to work successfully with people in any respect ranges of the group

• Data of accounts receivable system like SMS, IDX, or Meditech

• Data of laptop programs and software program utilized in purposeful space

• Data of medical reimbursement insurance policies and procedures

• Data of medical terminology and insurance coverage declare procedures frequent to medical billing and accounts receivable operations

• Data of a number of of the next: Medicare, Medi-Cal, Employee’s Comp or Managed Care (HMO,PPO,POS, and so on)

• Data of ideas and practices of customer support and phone courtesy

These ideas apply to ALL staff:

SHC Dedication to Offering an Distinctive Affected person & Household Expertise

Stanford Well being Care units a excessive commonplace for delivering worth and an distinctive expertise for our sufferers and households. Candidates for employment and current staff should undertake and execute C-I-CARE requirements for all of sufferers, households and in direction of one another. C-I-CARE is the inspiration of Stanford’s patient-experience and represents a framework for patient-centered interactions. Merely put, we do what it takes to allow and empower sufferers and households to deal with well being, therapeutic and restoration.

You’ll do that by executing towards our three expertise pillars, from the affected person and household’s perspective:

• Know Me: Anticipate my wants and standing to ship efficient care

• Present Me the Method: Information and immediate my actions to reach at higher outcomes and higher well being

• Coordinate for Me: Personal the complexity of my care by way of coordination

#LI-RL1

Equal Alternative Employer Stanford Well being Care (SHC) strongly values range and is dedicated to equal alternative and non-discrimination in all of its insurance policies and practices, together with the world of employment. Accordingly, SHC doesn’t discriminate towards any individual on the idea of race, coloration, intercourse, sexual orientation or gender id and/or expression, faith, age, nationwide or ethnic origin, political views, marital standing, medical situation, genetic info, veteran standing, or incapacity, or the notion of any of the above. Individuals of all genders, members of all racial and ethnic teams, folks with disabilities, and veterans are inspired to use. Certified candidates with legal convictions shall be thought of after an individualized evaluation of the conviction and the job necessities.

Base Pay Scale: Typically beginning at $31.53 – $35.50 per hour

The wage of the finalist chosen for this position shall be set primarily based on a wide range of components, together with however not restricted to, inside fairness, expertise, training, specialty and coaching. This pay scale is just not a promise of a specific wage.