What are the responsibilities and job description for the Patient Accounts Representative position at Georgia Hand, Shoulder &Elbow?
Description:
Job Summary:
The Patient Accounts Representative will provide support to the billing department and revenue cycle for GHSE, GSCP.
Duties/Responsibilities:
- Troubleshoot and problem solve accounts
- Posting of private and insurance payments/vouchers
- Completing adjustments to patient accounts
- Updating of patient insurance information, including memo entry for billing documentation
- Customer service - answer billing inquiries from patients and/or healthcare providers
- Submit refunds for patient or insurance over-payments to Billing Manager for review
- Follow collection process; includes written and verbal correspondence with patients on unpaid claims.
- Write protest/appeal letters to insurance companies.
- Rebill accounts
- Ability to interpret EOBs and resolve errors.
- Knowledge of various fee schedules for carriers.
- Make recommendations for process revisions or improvement initiatives under direction of the Billing Manager
- Provide support and assist in the resolution of patient account issues and payment plan arrangements, report to Billing Manager the same day.
- Create chart, enter data, insurance and post charges as necessary.
- Maintain HIPAA compliance.
- Performs other duties as assigned.
Required Skills/Abilities:
- Excellent verbal and written communication skills.
- Excellent organizational skills and attention to detail.
- Ability to prioritize tasks.
- Ability to create and present ideas in a variety of formats.
- Ability to maintain confidential records.
- Proficient with Microsoft Office Suite or related software.
Education and Experience:
- Three years of billing and coding experience required.
- Knowledge of the philosophy, mission, leadership needs, and planning requirements of the organization preferred.
- 1 year of orthopedic, surgical and ASC experience.
- Knowledge of worker’s compensation and Medicare reimbursement practices in an orthopedic and ASC setting.
Physical Requirements:
- Prolonged periods sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
