ACCOUNT REPRESENTATIVE (DENTAL)

Job DetailsJob Location: Ganado, AZ 86505Position Type: Full TimePosition Summary: Under the general supervision of the Business Office Manager, the Account Representative is responsible for the billing, collection, and reconciliation of accounts, and educating related departments about the billing/collection/reconciliation processes to ensure that clean, collectible claims are sent to payers in a timely manner. This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all inclusive. Essential Duties & Responsibilities: •    Review patient’s accounts to determine the status of the account. •    Make standard adjustments.  •    Prepare and process a variety of documents necessary for the maintenance and follow-up of all outstanding patient’s accounts. •    Examine accounts for accuracy, adequate documentation, and compliance with regulations.  •    Telephone third party payers regarding amounts that are due.  •    Perform follow-up procedures in a timely manner in accordance with hospital Business Office policy and procedures.  •    Generate contractual adjustment documents, when appropriate.   •    Identify accounts that are deemed non-collectible and make appropriate adjustments.  •    Report any discrepancies to the Dental Director providing all supporting documents and recommending resolution.  •    Generate monthly reports and close month by the first week of the following month and submit to the Finance Department.   •    Help with Dental Receptionists, as needed. •    Perform other duties as assigned.  QualificationsMinimum Qualifications: •    High School Diploma or General Equivalency Diploma.  •    Diploma or certification in Medical Billing preferred.  •    12 months of experience working within the healthcare setting. •    Demonstrated knowledge of billing workflows, payer rules, and claims submission processes preferred. •    Must be able to successfully pass the Employee Health Screening requirements and background investigation.       Knowledge, Abilities, Skills, and Certifications: •    Knowledge of Medical and Dental Terminology. •    Knowledge of ICD-9, CDT coding and ICD-10.   •    Ability to organize and keep records/files, MS Office Programs. •    Knowledge and understanding of Third-Party reimbursement/claims processing and follow up processes. •    Knowledge of the Meditech computer system, Dentrix dental software, and MS Office. •    Ability to read and understand aging reports and use them to target accounts for concentrated collection efforts. •    Ability to exchange ideas and information in a timely, concise, effective, and interpersonally appropriate manner. •    Demonstrate action and behavior that contribute to creating an environment where all individuals are treated in accordance with the mission & value statement.  •    Ability to model Sage Memorial Hospital mission, values, and ethical standards and to perform work responsibilities in an effective, timely and efficient manner.  •    Ability to understand departmental and organizational goals and to effectively prioritize and perform work responsibilities in a manner which best achieves those goals. •    Knowledge of the Joint Commission, HIPAA, Federal State and Local regulations including Workers Compensation and OSHA regulations.  •    Ability to perform tasks without constant supervision, the delivery of assigned work on a timely basis, and follow-up of all assignments, on a timely basis.  •    Ability to ensure neatness, completeness, thoroughness and organization of work and work habits. This work must be completed without errors or omission.  •    Ability to speak the Navajo language and/or a familiarity with the Navajo Way.      Physical Demands: While performing the duties of this job, the employee regularly is required to sit; use hands to reach and grasp objects; reach with hands and arms; and talk or hear. The employee frequently is required to walk. The employee occasionally is required to stand; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 50 pounds.      Work Environment: The employee will work in a Patient Care/Office Environment with moderate noise level. Normal scheduled hours are four, 10-hour shifts: Monday – Thursday or Tuesday – Friday.