Job Listings

Patient Due Representative

Company:
East Carolina University
Job Location:
Greenville, 27858
Category:
Health and Medical Services
Type:
Full-Time

Job Duties:
Patient Due Representatives provide customer service, account review/reconciliation, and limited third party payment revenue support for all ECUP clinical site services. They are responsible for adequately identifying, addressing, and resolving the needs of patients and/or third party liability payers as it relates to billing statements for ECUP professional medical services, and have limited involvement with insurance claims and billing. Employees must be knowledgeable of compliance trends as it relates to billing and reimbursement, and assist in the prevention of potential errors that could be considered fraudulent or abusive by a third party payer.

CLINICAL SUPPORT POSITION - NOT SUBJECT TO STATE HUMAN RESOURCES ACT.

The Brody School of Medicine at East Carolina University is affiliated with ECU Health Medical Center, which serves as its teaching hospital, as well as the flagship hospital for ECU Health.

Special Instructions To Application:

  • Please ensure your full range of knowledge, skills, abilities, experience and education are listed on your application. Do not write 'see resume' on your application when completing the job duties section.
  • If you answer the questions at the end of the application, please ensure your application reflects the knowledge, skills, abilities and experiences to support your answers (see job duties section of previous employment).
  • Failure to answer the questions at the end of the application will not preclude your application from being considered but may result in your application not receiving full consideration of your knowledge, skills, and abilities.
  • Applicants must be currently authorized to work in the United States on a full-time basis.

Minimum Education/Experience:
High school diploma or equivalency and one year of related office experience; or equivalent combination of training and experience.

Full time or Part time: Full Time

Position Location (city): Greenville

Position Number: 951095

Organizational Unit Overview:
Clinical Financial Services is responsible for directing the charge capture process from the time the charges are abstracted and coded until the charges are entered into the system and filed with the insurance carriers and payments are posted. Part of the responsibility of the department is to educate physicians and staff members on coding and document issues. Another major part of responsibility is to handle patient concerns and patient calls. The department is also responsible for filing, processing, appealing, and resubmitting insurance claims. The posting of monies for patients, insurance companies and other outside agencies, refunds, inpatient charge entry, and patient calls for assistance, questions, concerns, and complaints. The goal of the department is to assure that charges are billed accurately and timely. The department looks at enhancing the billing process activities for optimal reimbursement from third party payors and expediting payments due from patients, thereby reducing days in accounts receivable. There is also a tremendous amount of research done, due to not always having correct insurance information, correct patient information, or correct information to allow claims to "go out" as a clean claim on the first attempt.

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