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Pullman Regional Hospital logo
Pullman Regional Hospital

Pullman Regional Hospital is an acute care hospital dedicated to the well-being and comfort of our patients.

Patient Account Representative, EPIC Required

Location

Washington

Posted

61 days ago

Salary

$20 - $37 / hour

Seniority

Senior

Bachelor DegreeEnglish

Job Description

Patient Account Representative, EPIC Required

Pullman Regional Hospital

• Working knowledge of both hospital and physician denials and underpayments • Identify trends in denials and implement solutions in line with payer requirements to reduce future denials and optimize collections. • Stay current with changes in commercial payer policies, regulatory guidelines, and industry standards, implementing these updates into daily billing practices. • Analyze denials and determine the appropriate course of action for appeal or resubmission. • Prepare and submit appeals for denied claims, ensuring accuracy and compliance with regulatory requirements. • Collaborate with internal teams, including billing, coding, and clinical staff, to gather necessary information for appeals and resolve denial issues efficiently. • Maintain detailed records of denial cases, including appeals filed, communications with insurance representatives, and any additional documentation required. • Monitor the status of appealed claims and follow up with insurance representatives as needed to expedite resolution. • Generate and analyze reports on denials trends, identify root causes, and make recommendations for process improvements.

Job Requirements

  • Ability to analyze denial reasons, identify trends, and develop strategies for minimizing denials.
  • Excellent written and verbal communication skills, with the ability to effectively communicate with internal staff and insurance representatives.
  • Strong attention to detail and accuracy in documentation and appeals submissions.
  • Ability to collaborate effectively with multidisciplinary teams to achieve common goals.
  • Thorough understanding of billing regulations, coverage guidelines, and appeals process.
  • Bachelor’s degree.
  • CPC, CRCR, or CPMA certifications.
  • Working knowledge of Epic within Community Connect environment

Benefits

  • Medical/Vision, Dental, Health Savings Account, and Paid Leave Time
  • Employer Paid Life Insurance and Long-Term Disability
  • Retirement with Employer Matching Contributions
  • Voluntary Benefits that include: Life Insurance, Critical Illness, Accident Insurance, and Short-Term Disability Services
  • Discount and EAP Resources

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