What are the responsibilities and job description for the Client Accounts Representative position at Architech Sports and Physical Therapy?
CLIENT ACCOUNTS REPRESENTATIVE
Position Type: Full-Time
Location Type: Hybrid
Architech Sports is a premier facility specializing in Athletic Performance Therapy, dedicated to helping athletes of all levels achieve optimal recovery and peak performance. Our focus is on providing world-class care while fostering a collaborative, growth-oriented environment for our team.
The Client Accounts Representative provides customer service assistance for billing inquiries, monitors patient balances, and manages key administrative processes. This includes conducting thorough patient account reviews, handling medical records requests, and managing referrals and authorizations to ensure timely and accurate processing. The role is also responsible for creating and refining processes to enhance the experience for both patients and team members, ensuring accurate collections, and maintaining compliance with documentation standards.
Additionally, the Client Accounts Representative oversees revenue related to client balances after insurance payments or self-pay, ensuring that all financial and administrative interactions are handled efficiently and effectively.
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KEY RESPONSIBILITIES:
Account, Billing & Records Management
- Troubleshoot and problem-solve patient accounts, completing necessary adjustments.
- Update patient insurance information, including memo entries for billing documentation.
- Process charge requests for services rendered to patients.
- Create refunds for patient or insurance over-payments, following policies and procedures.
- Answer billing inquiries from patients, offering customer service and resolving issues.
- Manage and process medical records requests, ensuring timely and accurate documentation.
- Handle referrals and authorizations, requests, or audits, including tracking and verifying approvals for patient services when assigned.
- Ensure compliance with privacy regulations (e.g., HIPAA) when managing patient records and authorizations.
Collections & Follow-Up
- Follow the collection process, including written and verbal correspondence with patients regarding unpaid claims.
- Track and follow up on outstanding authorizations and referrals to prevent delays in patient care.
Team Collaboration & Operational Support
- Collaborate with clinical staff to ensure accurate billing, documentation, and processing of patient services.
- Assist other personnel as directed by the Department Supervisor to ensure smooth operations.
- Perform other duties as assigned to support Architech Sports & Physical Therapy’s mission, vision, and values.
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Skills/Knowledge/Abilities
- Problem-solving skills
- Knowledge of medical terminology
- Ability to read EOBs (explanation of benefits)
- Knowledge of CPT and ICD-9/ICD-10 coding
- Proficiency in handling medical records, referrals, and authorizations
- Skill in basic data entry; 10-key proficiency
- Skill in using a computer
- Ability to exhibit cooperation, flexibility, and provide assistance when interfacing with patients, physicians, and staff
- Ability to multi-task and prioritize tasks effectively
- Skill in organizing and reporting information that is accurate and complete
- Knowledge of basic math skills
- Understanding and respecting the need for confidentiality
- Ability to maintain composure in stressful situations
- Skill in establishing and maintaining effective working relationships with all staff
- Ability to prepare records in accordance with detailed instructions
- Ability to communicate effectively in person and on the phone
- Consistency and timeliness in attendance
- Expected to meet KPI and productivity metrics as set by management
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Education, Experience, Qualities and Licensing Requirements:
- 2 years medical office experience, including client relations
- Patient and pleasant personality; works well with a variety of people
- Flexible attitude; adaptable to new challenges and/or projects
- Experience handling medical records, referrals, and authorizations is preferred
- Team player
- Ability to work independently, with little supervision
- Excellent public relations
- Interfaces well with staff and therapists
- Professional demeanor
