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Patient Account Coordinator II

Community Care Network Of Va Henrico, VA

  • Posted: over a month ago
  • Full-Time
Job Description
 

Job Description

JOB TITLE: Patient Account Coordinator II - Remote Position; CPC Certification Required.

At Cenevia, we eliminate operational burdens so our healthcare delivery champions can focus on providing high-quality and cost-effective health outcomes. Since 1996, Cenevia has been a trusted support system, training partner and business process expert for health providers, including Federally Qualified Health Centers (FQHC), private practices, hospitals, managed care organizations, and provider networks.

Cenevia provides integrated, network-based services and programs to healthcare clients to help them run their businesses better so that they can focus on patient care. This includes the centralized practice management system, help desk, and support infrastructure that Cenevia established in 1999.


The Cenevia staff includes experienced health care professionals from the following areas:

  • Quality Improvement
  • Health Information Technology
  • Electronic Health Records Training
  • Health Plan Contracting
  • Credentialing and Enrollment (NCQA-certified)

 

Summary/Objective: 

The Patient Account Coordinator is responsible for all billing duties listed below. The position requires coordination with client contact for the daily and monthly revenue cycle management process.

 

Essential Functions:

  • Account inquiry review
  • Provider mapping and configuration
  • Claims processing (both paper and electronic)
  • Payment posting (both manual and electronic)
  • Management of clearinghouse rejected claims
  • Refunds and small balance adjustments
  • Claim denial management
  • Collection management
  • Insurance website navigation and maintenance of log in access
  • NGS Florida Shared System resubmission of denied Medicare Part A claims
  • Patient phone calls and interpretive management services
  • Billing alert creation and deletion
  • Proficiency in patient insurance demographic data
  • Continued education
  • Submission and follow up of ECW support tickets and CCNV IT support tickets
  • Insurance health plan entry 
  • Maintaining insurance files to include payors
  • Patient statements processing
  • Accounts Receivable management reports review
  • Daily balancing
  • End of month balancing and reporting
  • E-status review for provider participation status
  • Monthly client conference call preparation
  • Professional communications to clients and company employees 

 

QUALIFICATIONS:

Applicant must have two years of experience in insurance reimbursement, account collections, coding, and medical terminology. Candidate should be proficient in using Microsoft Excel and Word. Must have excellent customer service skills. High school diploma or equivalent required. CPC certification.

 

COMPETENCIES:

  • Accountability and Results - Assuming responsibility for successfully completing assignments or tasks; self-imposing excellence standards rather than waiting for others to impose or enforce them.
  • Admin Compliance - Adhering to appropriate SOP's [Standard Operating Procedures], guidelines, parameters, standards, policy, procedure, and/or protocols.
  • Client Focus - Anticipating, understanding, and fulfilling customer needs and expectations by providing excellent direct and indirect service.
  • Productivity - Ensuring efficiency requirements are met even in the face of time or resource restrictions.
  • Quality Focus - Assuring quality standards are met within appropriate specifications by accurately checking process and tasks over time.
  • Teamwork - Working effectively as part of a team through the practices of subordination, support, and cooperation.


 PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk.

 

The employee must occasionally lift and/or move up to 10 pounds.

 

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

 

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

The noise level in the work environment is usually moderate.

 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Cenevia is an equal opportunity employer.

At Cenevia, we believe diversity brings strength and adaptability by drawing on a broad range of talents, experiences and perspectives, and affords an inclusive workplace and culture where all people, regardless of gender, race, ethnicity, sexual orientation, or background, feel a sense of belonging.

 

This position is remote, and employee must have suitable and secure technology to be eligible for consideration – e.g., secure Wi-Fi, telephone, dedicated workspace (See HR Manual and Telecommuting Agreement for details).  Additionally, employee is required to participate and be seen in meetings via video conference as part of this role.

Community Care Network Of Va

Address

Henrico, VA
23233 USA

Industry

Healthcare

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