Patient Account Representative responsible for resolving hospital/physician accounts. Focusing on charge reviews and working with revenue cycle departments and payer organizations.
Responsibilities
Responsible for continued follow-up and collection of all assigned accounts that includes checking status via payor websites or systems and contacting the payer, physicians offices or the patient to obtain information necessary for claims processing and payment.
Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership.
Assesses payments and adjustments for accuracy and timeliness.
Document clear and concise notes in the EHR regarding claim status and any actions taken on an account.
Reviews payments received and identifies billing or coding issues and requests re-bills as needed.
Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors.
Provide support/coverage for team members that may be absent or backlogged.
Requirements
Preferred: Some College Coursework in accounting, business administration, healthcare administration, health information management or management
Minimum: Basic MS Word and Excel skills.35 wpm keyboarding/typing speed.Basic math skills.
Preferred: Advanced user of MS Word, Excel and Outlook.
Ability to assess relevant information and make appropriate decisions, recognizing when to escalate to Supervisor/Manager for resolution.
Strong interpersonal skills that reflect a positive attitude, with the ability to apply diplomacy and flexibility with patients and work associates, as required.
Knowledge of collection procedures and basic medical terminology.
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