Billing representative jobs in Mississippi - 904 jobs

Essential Duties and Responsibilities: * Achieve operational, financial, and cultural performance results as defined by the Company * Positively contribute to the overall patient experience, with extensive focuses on the Company's PAP patient usage compliance and accessories replenishment goals: * Usage Compliance * Work to achieve Company goals, as well as individual goals defined by the Manager of Patient Engagement * Replenishment Initiative * Work to achieve Company goals, as well as individual goals established by Manager of Patient Engagement * Patient complaints * Reduce or eliminate patient complaints resulting from CROP processes * Communicate complaints to the Manager of Patient Engagement * Develop an acumen for populating reports in the Company's patient management software and using those reports to monitor and contact patients with a goal of encouraging usage and replenishment * Create a favorable experience for every single patient, retaining patients as long-term and/or repeat customers * Encourage high levels of equipment usage compliance for equipment where monitoring is an option through utilization of Patient Management Software reports * Grow Company patient base through utilization of patient management software reports * Ensure patients are enrolled timely in programs that allow the Company to monitor patients in the home regarding equipment usage, benefit, and progress * Utilize existing patient management software to directly contact patients, * such as Resupply calling, to ensure successful outcomes of those call programs. * Obtain strong and measurable consistency in the following categories: * patient equipment utilization * related patient interactions, and patient education * replenishment of accessories to established patients * Build strong relationships with peers and supervisors to help collaboratively achieve the desired outcomes. * Develop and maintain working knowledge of products and services offered by the company, * Maintain professional, polite, and respectful interactions with employees, patients/customers, referrals sources, vendors * Responsible to perform other duties as assigned by management Qualifications: * High school diploma or equivalent * Customer Service experience required * Relevant healthcare or medical billing experience preferred * May be required to obtain additional training, licenses or certifications, depending on job assignments * Excellent communication skills, both written and oral are also required You will be expected to work during normal business hours, which are Monday through Friday, 8:00 a.m. - 5:00 p.m. Please note this job description is not designed to cover and/or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice.

About the Role: The Patient Account Representative plays a crucial role in ensuring the financial health of our healthcare facility by managing patient accounts effectively. This position is responsible for verifying patient information and resolving billing inquiries to ensure timely payments. The representative will communicate with patients to learn reason for visit and explain their insurance benefits. By maintaining accurate records and following up on outstanding accounts, the Patient Account Representative contributes to the overall efficiency of the revenue cycle. Ultimately, this role is vital in providing a seamless experience for patients while supporting the financial operations of the organization. Minimum Qualifications: High school diploma or equivalent. Strong understanding of insurance verification. Preferred Qualifications: Experience with electronic health record (EHR) systems. Knowledge of medical terminology. Responsibilities: Verify patient insurance coverage and eligibility prior to services rendered. Respond to patient inquiries regarding billing statements and insurance benefits. Maintain accurate and up-to-date patient records. Monday through Friday, 8-5 (hours may slightly vary).

The Insurance Claims Coordinator reviews, handles and takes appropriate action on all unpaid third party insurance claims in excess of 30 days since file date, giving special consideration to large and/or older claims. He/She handles matters relating to account audits by insurance third party audit firms; works closely with insurance billers, medical records, registration, ancillary departments and business office personnel. The Insurance Claims Coordinator is responsible for follow up of designated insurance accounts, finalization of insurance matters, and audit matters regarding certain claims. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. / Full-Time / 8am to 4:30pm / 2809 Denny Ave Pascagoula, Mississippi, 39581 United States Position Overview: The Insurance Claims Coordinator reviews, handles and takes appropriate action on all unpaid third party insurance claims in excess of 30 days since file date, giving special consideration to large and/or older claims. He/She handles matters relating to account audits by insurance third party audit firms; works closely with insurance billers, medical records, registration, ancillary departments and business office personnel. The Insurance Claims Coordinator is responsible for follow up of designated insurance accounts, finalization of insurance matters, and audit matters regarding certain claims. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Education: High school graduate or equivalent required. License: N/A Certification: N/A Experience: A minimum of two (2) years' patient accounting and insurance experience preferred. Experience in a hospital or healthcare setting preferred. Reports to: Director of Collaborative Care Network Supervises: None Physical Demands: Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Work involves using repetitive motions: substantial movements of the wrists, hands and/or fingers while operating standard office equipment such as computer keyboard copier and 10-key. Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to work for extended periods of time without experiencing undue fatigue. Mental Demands: Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi-task in complex situations is required. Must have strong analytical and interpersonal skills. Special Demands: Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.). Must have intermediate knowledge of MS Outlook, Word, Excel, and PowerPoint. Must possess knowledge of all Revenue Cycle functions in hospital settings and medical terminology; and, a thorough knowledge of state and federal laws, as they apply. Experience navigating within an Electronic Medical Record (EMR).

Secretarial/Clerical/Business Office Clerk TITLE: INSURANCE CLERK QUALIFICATIONS: 1. High School graduate (Associate's degree in accounting or related field preferred) 2. Understanding of general payroll laws, policies, practices and principles 3. Ability to perform accurate mathematical computations 4. Ability to plan, organize, set priorities, and work independently 5. Ability to work under time constraints and deadlines, and shift when priorities change 6. Ability to communicate clearly orally and in writing 7. Ability to exhibit professionalism with district staff, vendors and the public 8. Ability to handle sensitive and confidential information responsibly and with integrity 9. Proficient in use of standard office equipment 10. Proficient in Microsoft Office and the ability to operate computerized accounting and spreadsheet programs 11. Ability to multitask 12. Ability to give attention to detail SUPERVISES: N/A REPORTS TO: Chief Financial Officer JOB GOAL: Accurate and prompt payment of employee benefits and withholdings and support of payroll processing. TYPICAL DUTIES AND RESPONSIBILITIES: Such duties and responsibilities as may be assigned, including but not limited to: 1. Administers the employee benefit programs offered by the district 2. Acts as liaison between employees and insurance providers regarding coverage and changes 3. Coordinates insurance enrollment activities of the district 4. Coordinates the collection, processing and reporting of employee information with the Human Resources department 5. Meets with newly hired employees to explain benefits offered and assists with completion of enrollment forms and changes 6. Maintains forms, booklets, plan documents, etc., and distributes to employees as needed or requested 7. Enters benefit and deduction information in payroll database and maintains supporting documentation 8. Maintains a log of garnishments received and responds to withholding orders 9. Reconciles monthly billings to payroll reports, resolves discrepancies and submits premiums timely 10. Processes weekly time and leave records 11. Reconciles teacher leave records to substitute service invoices 12. Maintains records of premium escrow amounts and processes premium refunds 13. Completes employment verifications 14. Responds to questions from employees regarding deductions or leave 15. Assists with payroll data entry and processing as needed 16. Assists with other Business Office clerical needs 17. Assists with retrieving information for auditors and upon request 18. Recommends improvements to payroll procedures and practices 19. Assists other department personnel as appropriate and necessary 20. Demonstrates prompt and regular attendance 21. Supports the Hattiesburg Public School District Mission, Vision, and Strategic Plan 22. Performs other duties as assigned TERMS OF EMPLOYMENT: Salary and work year to be established by the Board of Trustees EVALUATION: Annually

Secretarial/Clerical/Business Office Clerk District: Hattiesburg Public School District

We are seeking a detail-oriented Medical Billing Specialist with a focus on Accounts Receivable to support our in-house revenue cycle operations. This role involves overseeing the full AR process for multiple Rural Health Clinics, including timely and accurate billing of Part A and Part B services. You'll be joining a collaborative, supportive team at our company headquarters. Primary Responsibilities Core duties emphasize Accounts Receivable functions across the entire billing cycle: Daily claim submission to insurance payers; Research and resolve denied, rejected, or no-response claims, including correction and appeals; Follow up on unpaid or underpaid claims in a timely and persistent manner to ensure resolution and maximize reimbursement; Maintain updated patient and insurance data in billing software to ensure claims are accurate and up to date; Collaborate with team leads and supervisors on reimbursement issues, trends in denials, or workflow improvements; Respond to requests for medical records and additional claim documentation as needed; Assist with reporting and documentation related to collections, AR trends, and key performance indicators (KPIs). Qualifications Required Experience: Minimum 2 years of medical billing experience Strong working knowledge of the full AR lifecycle within a healthcare setting Education/Certification: High school diploma or GED (required) Preferred certifications: CCS, CCSP, CPC, CPC-P, RHIA, COC Preferred: Associate degree or higher in Health Information Management, Healthcare Administration, or related field Skills and Competencies: Proficient in billing both electronic and paper claims Strong understanding of ICD-10, CPT/HCPCS coding, and modifier usage Ability to interpret insurance guidelines for Medicare, Medicaid, and commercial payers Skilled in EHR/EMR navigation, payor portals, and billing software Strong phone communication and problem-solving skills for working denials and collections Familiarity with payor bundling/unbundling rules, medical necessity criteria, and common denial reasons

Important: You Will Receive An Email Within Next 2 Minutes After Applying , Check Your Inbox or Spam Folder For next steps. A Data Entry Clerk, is responsible for inputting data and making changes to existing data figures in digital databases. Their duties include inputting data from paper documents into digital spreadsheets, updating order statuses for customers and double-checking their work to make sure they inputted data correctly.

Job Summary: The Patient Access Clerk is responsible for performing diversified receptionist duties, coordinates all phases of patient visits and assures proper documentation of records in an effort to achieve the goal of providing optimal care. Collects all demographic/financial information from the patient or insured for registration. This position involves direct patient contact and requires the ability to interact with the public in a positive manner, thus enhancing the hospital image. At all times, work assignments will be determined adjustment of daily scheduled appointments and priority needs of the patient, medical director, or director. Then MCI Patient Access Clerk is expected to function within the scope of approved policies, procedures, and regulations for the department and organization. Will be responsible to document total care given, review and maintain patient chart per policy and assist with accurate timely entry of patient data, orders, and charges into computer system. Must be able to work and relate in a professional, non-defensive manner with peers, physicians, administration, patients, and visitors.

Job DescriptionDelta Health Center, Inc.is seeking a full-time, detail-oriented, and experienced Medical Biller to join our team. This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care. Medical Biller Duties and Responsibilities • Ensure patient information is accurate and complete • Request any missing patient information • Review referrals and authorizations • Confirm patient benefits and insurance • Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO • Transfer insurance claims and billing data to billing software • Create both paper and electronic copies of documentation • Develop and maintain a tracking system of incoming and late payments • Monitor and date late payments • Initiate late payment notices to relevant parties • Respond to questions and complaints from patients or insurance companies • Follow-up on late or missed payment notices • Monitor and resolve financial discrepancies • Arrange payment plans and timelines for payments • File and maintain organized documentation of all billing and record • Follow set billing processes and procedures • Update and review all accounts to keep records of payments up-to-date •

Job Description Job Essential Duties and Responsibilities: To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Reviews and maintains invoices and records to ensure accuracy. Maintains all customer payment records. Has knowledge of commonly used concepts, practices, and procedures within the insurance field. Relies on instructions and pre-established guidelines to perform the job function. Perform other duties as assigned by the Department Manager.

• Welcome patient and family members in a professional and friendly manner. Contact nursing staff for emergency medical needs. • Interview patients to obtain all necessary demographic, insurance, emergency contact information. • Go into patient rooms or exam rooms as required to gather all necessary registration information and documents. • Scan copies of picture ID and insurance card(s) into account. • Verify all insurance coverages. • Assign insurance plans accurately in the account. • Ensure that all necessary signatures are obtained. • Ensure that a patient wrist band is placed on the patient's wrist. • Answer any questions and explain policies regarding services, charges, insurance billing and payment of account. • Produce paperwork for each patient for distribution to appropriate departments. Align pertinent documents for establishing the patient's medical record and financial file. • Ensure charts are complete and accurate. • All other duties, as assigned. KNOWLEDGE, SKILLS & ABILITIES • Communication - communicates clearly and concisely, verbally and in writing • Customer Service - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding customer expectations. Maintain calm at all times, even when dealing with angry or unreasonable people. • Interpersonal skills - able to work effectively with other employees, patients and external parties. • Registrar is cross trained on Outpatient Registrar and ER Registrar duties. • PC skills - demonstrates efficiency in PC applications, as required. • Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems. • Basic skills - able to perform basic mathematical calculations, balance and reconcile cash drawer, use correct grammar & spelling and transcribe accurately. EDUCATION High school diploma or GED required. EXPERIENCE At least one year of registration experience preferred. Good computer skills are required. CERTIFICATE/LICENSE - N/APHYSICAL DEMANDS/WORKING CONDITIONS - Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 50 lbs. occasionally. Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people.

On Site Customer Service Effectively manage incoming calls from clients and debtors Identify and assess clients' needs to achieve satisfaction Complete computer updates and records Provide accurate, valid and complete information by using the right methods Handle complaints, provide appropriate solutions and alternatives and follow up to ensure resolution Follow communication procedures, guidelines and policies Ability to adapt/respond to different types of callers Requirements Proven customer support experience Previous call center experience a plus Strong phone contact handling skills and active listening Excellent communication and presentation skills Ability to multi-task, prioritize, and manage time effectively High school diploma or GED Strong computer skills, including Microsoft office suite of products Regular and Reliable Attendance Required Ability to learn and use new company specific software

Description: Job Description: Medicare Insurance Biller We are currently seeking a dedicated Medicare Insurance Biller to join our team on a full-time basis. The ideal candidate will be responsible for efficiently handling Medicare and Medicare Advantage IP/OP claims, computing total hospital bills, and providing exceptional customer service to patients regarding statements and insurance coverage. **Essential Duties and Responsibilities:** - File Medicare and Medicare Advantage IP/OP claims electronically - Compute total hospital bill showing amounts to be paid by insurance company and by patient - Answer patient's questions regarding statements and insurance coverage - Follow up on unpaid insurance claims including Medicare primary, secondary insurance, and 1500 claims - Manage correspondence received through mail daily - Work on Collection Work list and Timely Filing Spreadsheet daily - Handle RA's/Denials on a weekly basis - Set up OP records and perform IP Admission and Front Window duties on Saturdays - Provide relief and support to Admissions Office and Switchboard as necessary If you are a detail-oriented individual with a strong understanding of Medicare billing processes and excellent communication skills, we encourage you to apply for this position. Join our team and contribute to providing quality healthcare services to our patients. Requirements:

The Patient Access Representative facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service. The PAR ensures that all data entry is accurate, including demographic and financial information for each account. The PAR has numerous procedural requirements, including data elements, insurance verification, and authorization for services; collections for all patient portions including prior balances; and balancing of cash at shift end. The PAR communicates directly with patients and families, physicians, nurses, insurance companies, and third party payers. The PAR has the ability to, and serves as, team lead, lean Process improvement participant, new hire preceptor/mentor and/or auditor for regulatory and billing compliance. * Customer Service * Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. * Represents the Patient Access department in a professional, courteous manner at ALL times. * Asks patients if they may have special needs. * Calls patients by name. * Greets patients in a courteous and professional manner. * Quality * Adheres to the Passport accuracy percentage rate of 97.5 or above on a consistent basis when registering accounts. * Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change. * Supports the department in achieving established performance targets. * Completes training required as needed. * Demonstrates reliability and dependability by reporting to work when scheduled. * Financial Collections * Calculates and collects the estimated patient portion, based on benefits and contract reimbursement as well as prior balances. * Utilizes appropriate language and behavior to collect patient financial responsibility. * Collects co-payments, deductibles, deposits and/or amounts due on previous accounts. * Demonstrates knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous and professional manner. * Demonstrates knowledge and ability to review and explain previous accounts. * Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. * Collects cash, prints receipts, and balances cash drawers. * Insurance and Benefits Knowledge * Demonstrates knowledge of insurance plans. * Verifies eligibility and obtains necessary authorizations for services rendered. * Completes Medicare Secondary Payor Questionnaire. * Utilizes online eligibility. * Obtains authorization/verification of required insurance companies. * Utilizes appropriate software and worksheets to calculate patient financial responsibility. * Performs financial assessment for appropriate program assistance. * Utilizes appropriate guidelines to assist patient with financial responsibility. * Demonstrates accuracy in selected insurance plans (I-plans). * Registration * Serves in a team lead role (if assigned). * Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures. * Mentors and trains other associates. * Acts as auditor for regulatory and billing compliance. * Other Duties as Assigned * Performs all other duties as assigned. Education: High School diploma or equivalent Experience: 2 years relevant experience in the healthcare industry. Related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience.

The Patient Access Representative is responsible for greeting patients, verifying insurance information, registering patients for services, collecting payments, scheduling appointments, and maintaining accurate patient records, all while ensuring the integrity of the Master Patient Index. The Patient Access Representative ensures a smooth and welcoming experience and adheres to all regulatory and confidentiality standards. Strong communication, customer service, and organizational skills are essential for success in this role. Knowledge, Skills, and Abilities: Basic knowledge of patient throughput workflows and regulations. Proficient in revenue cycle healthcare systems. Ability to maintain confidentiality. Intellectual capacity to understand and analyze complex payer guidelines and proper patient access regulations. Demonstrated analytical skills to discover root cause of errors and properly correct. Good verbal and written communication skills. Maintains professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry. Responsibilities: Greet and assist patients, families, and visitors in the Emergency Room with professionalism, empathy, and a sense of urgency. Complete timely and accurate patient registration, including collection and verification of demographic, insurance, and financial information. Obtain necessary patient signatures on consent forms, privacy notices, and financial documents, ensuring compliance with hospital and legal requirements. Verify insurance eligibility and benefits using electronic tools or direct contact with payers, and update records accordingly. Determine and collect patient co-pays, deductibles, or deposits as appropriate; provide information about financial assistance programs when needed. Collaborate with clinical and security teams to prioritize patient intake based on acuity and maintain efficient patient flow. Accurately enter and maintain patient data in the electronic medical record (EMR) and registration systems, correcting duplicate records or errors as necessary. Respond promptly and courteously to patient and family inquiries, demonstrating sensitivity to diverse situations and emotional states. Stay informed on payer guidelines, hospital policies, and Emergency Department protocols to ensure compliance and accuracy. Support process improvements and assist in training new staff when applicable; provide backup assistance to other Patient Access areas during high-volume periods. Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time. Physical and Environmental Demands: Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal/clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, occasional lifting/carrying up to 50 pounds, occasional lifting/carrying up to 75 pounds, occasional lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, no climbing, no crawling, occasional crouching/stooping, occasional driving, occasional kneeling, occasional pushing/pulling, frequent reaching, frequent sitting, frequent, standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more) Requirements Education & Experience: High school diploma/GED and one (1) year's experience of clinical admissions, patient registration, or patient scheduling Certifications, Licenses or Registration required: N/A Preferred Qualifications: Knowledge of ICD-10/HCPCS/CPT coding Basic knowledge of third-party insurance and government insurance plans

The Patient Access Representative facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service. The PAR ensures that all data entry is accurate, including demographic and financial information for each account. The PAR has numerous procedural requirements, including data elements, insurance verification, and authorization for services; collections for all patient portions including prior balances; and balancing of cash at shift end. The PAR communicates directly with patients and families, physicians, nurses, insurance companies, and third party payers. The PAR has the ability to, and serves as, team lead, lean Process improvement participant, new hire preceptor/mentor and/or auditor for regulatory and billing compliance. Education: High School diploma or equivalent Experience: 2 years relevant experience in the healthcare industry. Related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience. Customer Service Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name. Greets patients in a courteous and professional manner. Quality Adheres to the Passport accuracy percentage rate of 97.5 or above on a consistent basis when registering accounts. Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change. Supports the department in achieving established performance targets. Completes training required as needed. Demonstrates reliability and dependability by reporting to work when scheduled. Financial Collections Calculates and collects the estimated patient portion, based on benefits and contract reimbursement as well as prior balances. Utilizes appropriate language and behavior to collect patient financial responsibility. Collects co-payments, deductibles, deposits and/or amounts due on previous accounts. Demonstrates knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous and professional manner. Demonstrates knowledge and ability to review and explain previous accounts. Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. Collects cash, prints receipts, and balances cash drawers. Insurance and Benefits Knowledge Demonstrates knowledge of insurance plans. Verifies eligibility and obtains necessary authorizations for services rendered. Completes Medicare Secondary Payor Questionnaire. Utilizes online eligibility. Obtains authorization/verification of required insurance companies. Utilizes appropriate software and worksheets to calculate patient financial responsibility. Performs financial assessment for appropriate program assistance. Utilizes appropriate guidelines to assist patient with financial responsibility. Demonstrates accuracy in selected insurance plans (I-plans). Registration Serves in a team lead role (if assigned). Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures. Mentors and trains other associates. Acts as auditor for regulatory and billing compliance. Other Duties as Assigned Performs all other duties as assigned.

The Patient Experience Coordinator supports the system's patient experience strategy and initiatives for all employed medical practices and ambulatory settings. This includes support to operational leadership, providers, team members, and patients. This position is responsible for managing, gathering, reporting, and optimizing relevant data, supporting patient grievance resolution, providing quality oversight, and implementing provider, leader and team member education as it relates to patient experience. Experience: 2 years' experience in patient relations, marketing, hospitality, data management, training or related field. Education: Bachelor's Degree in Hospitality, Business Administration, Communications, Behavioral Science, Organizational Development or other related field Special Skills: Experience in Microsoft Office, virtual meeting applications and web-based data management systems. Must exhibit excellent interpersonal skills, critical thinking and time management skills. Must have ability to work well under stress and meet deadlines. Collaborative and cooperative. Ability to apply practical knowledge to customer service. Possess excellent writing and planning skills. Ability to collect and manipulate data analysis, trends and utilize for performance improvement initiatives. Demonstrate leadership in report design. Ability to analyze data, create reports and develop education to advance Patient Experience. Patient Experience Survey and Education Responsible for maintaining, optimizing, tracking and reporting all relevant patient experience data Responsible for provider communication education and training, including but not limited to workshop planning, registration and facilitation; trainer engagement; program growth; program sustainability and results reporting Manages the Press Ganey account and any Press Ganey initiatives, including troubleshooting issues, survey changes/review and the launch of any new services or product features Support and Admin Supports the ongoing maintenance of digital patient experience tools including but not limited to online scheduling, reporting, change requests, and functionality verification Provides ongoing support to clinic leadership for data review, portal support, improvement planning and improvement tracking Supports and assists in the overall build and management of an ongoing grievance patient process Provides general support to the marketing department to ensure that patient communication is clear and appropriately presented Supports system initiative implementation through quality control tactics such as patient shadowing and call monitoring Other All other duties as assigned

The Patient Access Representative facilitates a welcome and easy access to the facility and is responsible for establishing an encounter for any patient who meets the guidelines for hospital service. The PAR ensures that all data entry is accurate, including demographic and financial information for each account. The PAR has numerous procedural requirements, including data elements, insurance verification, and authorization for services; collections for all patient portions including prior balances; and balancing of cash at shift end. The PAR communicates directly with patients and families, physicians, nurses, insurance companies, and third party payers. The PAR has the ability to, and serves as, team lead, lean Process improvement participant, new hire preceptor/mentor and/or auditor for regulatory and billing compliance. Responsibilities * Customer Service * Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. * Represents the Patient Access department in a professional, courteous manner at ALL times. * Asks patients if they may have special needs. * Calls patients by name. * Greets patients in a courteous and professional manner. * Quality * Adheres to the Passport accuracy percentage rate of 97.5 or above on a consistent basis when registering accounts. * Supports the flexible needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change. * Supports the department in achieving established performance targets. * Completes training required as needed. * Demonstrates reliability and dependability by reporting to work when scheduled. * Financial Collections * Calculates and collects the estimated patient portion, based on benefits and contract reimbursement as well as prior balances. * Utilizes appropriate language and behavior to collect patient financial responsibility. * Collects co-payments, deductibles, deposits and/or amounts due on previous accounts. * Demonstrates knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous and professional manner. * Demonstrates knowledge and ability to review and explain previous accounts. * Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate. * Collects cash, prints receipts, and balances cash drawers. * Insurance and Benefits Knowledge * Demonstrates knowledge of insurance plans. * Verifies eligibility and obtains necessary authorizations for services rendered. * Completes Medicare Secondary Payor Questionnaire. * Utilizes online eligibility. * Obtains authorization/verification of required insurance companies. * Utilizes appropriate software and worksheets to calculate patient financial responsibility. * Performs financial assessment for appropriate program assistance. * Utilizes appropriate guidelines to assist patient with financial responsibility. * Demonstrates accuracy in selected insurance plans (I-plans). * Registration * Serves in a team lead role (if assigned). * Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures. * Mentors and trains other associates. * Acts as auditor for regulatory and billing compliance. * Other Duties as Assigned * Performs all other duties as assigned. Qualifications Education: High School diploma or equivalent Experience: 2 years relevant experience in the healthcare industry. Related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience.

Full-time Description BILLING DEPARTMENT SPECIALIST CHARACTERISTICS OF WORK Assist the Billing Department, Prior Authorization Coordinator, and agency by performing eligibility checks, prior authorization tasks, updating consumer billing records, and other duties as assigned by supervisors. EXAMPLES OF RESPONSIBILITIES - Maintain a high level of professionalism, conduct and appearance. - Utilize electronic portals to research and confirm insurance eligibility and update sliding fee scales and consumer billing records accordingly in the electronic health record. - Assist prior authorization team and program areas with confirming valid insurance and maintaining records. - Be proactive monitoring and correcting billing and eligibility data for all program areas as needed. - Become competent in Inovalon clearinghouse to manage claims as directed by supervisor. - Become competent in Carelogic EHR to manage claims, run reports and proactively improve revenue billing. - File Outpatient Treatment Requests and NOCs promptly and accurately. - Ensure claim and appeal timeframes are met. - Review electronic health records to correct failed claims, manage claims maintenance, and monitor and correct other relevant data to maximum billing/revenue while minimizing claim denials. - Educate and assist program area staff and front office staff with checking eligibility, sliding fee scale calculation, household income and size data, and authorization record keeping. - Ensure that Medicaid service limits are entered into electronic healthcare records to avoid staff providing excess service counts. - Understand and utilize payer contracts. - Follow up on all appeals, claims, letters, or other documentation with the insurer as needed. - Use available resources appropriately, including but not limited to training materials, shared drive, team meeting notes, etc. - Address all follow ups promptly according to priorities provided by leadership. - Follow all HIPAA guidelines in accordance with Employee Handbook. QUALIFICATIONS 1-2+ years related experience in healthcare claims and/or equivalent combination of education and experience 1-2+ years of experience with appeals and denials Medical billing experience General knowledge of claims forms and Explanation of Benefits forms Experience with Electronic Medical Records Knowledge of Medicare and Medicaid claims Bachelor's Degree or High School Diploma or General Education Development equivalency and at least one (1) year work experience Must have a valid Mississippi driver's license and pass a criminal background check REPORTING SUPERVISOR Prior Authorization Coordinator, Finance Director, Operations Director POSITIONS SUPERVISED None