The Charge Master Data Analyst (CMDA) is responsible for maintaining, updating, reviewing, and reconciling the charge master for the organization, serving the entire organization as part of the Patient Business Office. The Patient Account Representative manages financial aspects of healthcare services including claims processing, payment posting, and patient billing. This role ensures accurate and timely reimbursement for healthcare providers by submitting claims to insurance companies, following up on unpaid claims, and managing patient payments. Acts as a liaison between patients, insurers, and providers.
Primary responsibilities include charge master review, updating and maintaining the charge master, working with CFO and departments on charge master issues, managing service requests related to AR and charge master, reviewing reports on suspended charges and errors, communicating charge master changes, creating related policies and procedures, and other duties as assigned.
As a Patient Account Representative, responsibilities include initial billing for various insurances (commercial, government, Medicare, Medicaid, workers' comp), following billing instructions, claim follow-up for collections via calls, letters, adjustments and documentation, verifying overpayments, refund processing, investigating and resolving denied claims, submitting accurate account adjustments, working a minimum of 50 accounts daily, editing and validating claims for release, maintaining accounts receivable aging below 12% for 120+ days category, and professional communication with patients.
The position may be remote if located in Washington state with previous medical billing experience after training completion.
The employee is expected to uphold core values such as teamwork, mission focus, ownership, caring, motivation, guidance, and joy; to demonstrate trust, cooperation and professionalism; to treat others with respect; to strive for quality and continuous improvement; to learn new skills; to participate in team goals; and to provide courteous telephone communication.
High School diploma or GED preferred. Experience with charge capture, fee schedules, coding, billing, compliance, and charge master principles. Understanding of laws and regulations related to coding, billing, and pricing preferred. Prior medical/clinic billing experience preferred. One year of computer training and/or experience, accurate typing, public and multi-line telephone experience. Ability to use computers, telephones, copy/fax machines, printers, and 10-key calculators. Excellent communication, visual perception, and reasoning skills. Ability to work independently and use good judgment on charging/documentation practices.
Medical, Dental, and Vision insurance. 403(b) retirement plan with up to 6% employer match based on healthcare experience. Employer paid life insurance at 1x annual salary. Employer paid long term disability. Employee Assistance Program (EAP). Paid Time Off (PTO) accrual and Paid Sick Leave meeting Washington state requirements.
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
4 weeks ago