Account Representative

Description

Job Summary:

The Spine Team Texas Patient Account Representative Specialist is responsible for analyzing and investigating claims to be paid at the highest specificity allowed by all carriers. This position requires the full understanding and active participation in fulfilling the mission of Spine Team Texas.  The Patient Account Representative Specialist reports directly to the Patient Financial Services Manager.

Spine Team Texas Attributes

In order for Spine Team Texas to meet the goals expressed through the company mission statement, it is imperative that all employees possess the following attributes:

1. Knowledge – The blending of job related education, skills and experience.
2. Quantity – Level of satisfactory output generated in position per unit time.
3. Accuracy – Absence of errors.
4. Judgment – Capacity to make reasonable decisions.
5. Innovation – Imagination and creativity used to better position.
6. Appearance & Habits – Personal habits, grooming, uniform / clothing.
7. Orderliness – Organization of the individual’s work and work area.
8. Courtesy – Respect for feelings of others.  Politeness on the job.
9. Cooperation – Willingness to help others accomplish their objectives.
10. Initiative – Voluntarily starting projects.  Attempting non-routine jobs and tasks.
11. Reliability – Dependability and trustworthiness.
12. Perseverance – Steadfast pursuit of job objectives when faced with unexpected obstacles.
13. Stability – Even temperament. Acceptance of unavoidable tension and pressure.
14. Alertness – Ability to quickly understand new information and situations.
15. Professionalism – Professional actions, communications and attitude.
16. Team work – Ability to work in a team for the betterment of staff, patients, and the Company.
17. Observance – Observance of Company policies and procedures.
18. Attendance – Consistent adherence to work schedule.

Job Responsibilities:

1. The Patient Account Representative Specialist is responsible for analyzing and investigating claims to be paid at the highest specificity allowed by all carriers.  It is the responsibility of this position to ensure accurate payment is received for all accounts through collection, appeals and billing procedures. 
2. Patient Account Representative Specialist must maintain proper and timely documents and updates to all accounts, which includes but is not limited to creating notes in the patient account on all activity that occurs. Review medical record documentation to assure accuracy when appealing payment or correcting diagnosis or other billing records. 
3. In addition, it will be the responsibility of the Account Representative to financially counsel patients concerning their balances or future balances due. Also responsible for assisting in the EDI process and working the correspondence in a timely manner within the 3/5 day turnaround for claims.
4. Other duties and responsibilities may be assigned as necessary by the Patient Financial Services Supervisor or Director. 

Customer Service

All Spine Team Texas employees are required to maintain the highest level of customer service at all times.  Employees must always speak in a kind, courteous and professional manner when dealing with a patient/customer or co-worker.  Employees are required to fulfill the Spine Team Texas mission of “Offering an Unparalleled Patient Experience!”  All employees must exhibit a spirit of cooperation and positive attitude.  Professionalism is to be maintained at all times.

Team Concept:

Spine Team Texas was founded on a team concept approach.  To build and enhance the team, each employee must contribute positive interaction, promote value and be a “team-player” not only for their unit or department, but for Spine Team Texas as a whole.

Physical Requirements & Work Environment

Must be able to sit for long periods of time in a well-lit, air conditioned office environment.  Must have ability to lift a minimum of 5 pounds.  Must be able to work under pressure.  Tasks involve no exposure to blood or other potentially infectious materials.

Qualifications

Educational Requirements & Position Qualifications:

1. High School diploma or equivalent experience is required.
2. NCICS preferred
3. Minimum of 3 years medical collections experience required.
4. Detail oriented and organizational skills.
5. General knowledge of third-party payors, collection laws and procedures.
6. Experience posting payments, charges, and balancing the postings.
7. Computer experience, typing and ability to operate calculator.
8. Possess the ability to work productively, either independently or with other individuals.
9. Proficient in communicating in the English language both written and verbally.
10. Able to process correspondence in a timely manner.