Patient Accounts Representative

JOB SUMMARY:  Responsible for all aspects of billing Performs a variety of tasks related to the detail of patient accounts receivable. Deals with questions and requests for detail information related to billings from patients, third party insurance carriers, guarantors, doctors lawyers and others, over the phone or by letter correspondence. Processes all bills for services rendered to patients.

ESSENTIAL DUTIES AND RESPONSABILITIES include the following as well as other duties and responsibilities that may be assigned:

• Accurately Reviewing claims for coding, process and manage in a timely manner
• Review patient accounts to identify delinquent and due accounts
• Coordinate with insurance companies to resolve payment problems and reimbursement issues.
• Insurance verification via phone and/or clearinghouse
• Collect and post patient and insurance payments
• Charge entry and payment processing
• Response to inquiries concerning account balance, third party payments, from patients, lawyers, and/or third party payers in a timely manner.
• Keeps up to date statuses and regulations that could affect the collection
• Effectively navigate insurance portal and EMR system
• Works with physicians or health care professional if patient information is unclear to accurately process a services rendered.
• Brings any unusual occurrence to the attention of the Director of Patient Accounts or Patient Accounts Senior Leader
• Perform any other duties as may be assigned

Other Elements:

Remote Work               Flexible work and remote-friendly 40 hours position. The employee may be expected to work on site all or part of the week. Daily interaction with other members of the organization and immediate supervisor is expected to included but not limited to phone, video, virtual meetings and training.

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Knowledge                   Reimbursement and third party payer procedures and collection techniques Ability to accurately enter and review data. Ability to multitask. Knowledge of Microsoft and Outlook.

Experience                   Billing and collections in a health system or Medical billing certificate is preferred. Must have good computer skills.

Judgment                     Demonstrates good judgment in reasoning when investigating and solving problems. Respect the confidentiality of patient information in compliance with the HIPAA and other applicable regulations..

Action                          The ability to prioritize the assignments.

Accountability              Ability to meet deadline and work product. Ability to perform assigned duties with minimal direction and supervision in a timely manner.  Ability and flexibility to work in-office or remotely.

Interrelationships          Effective interaction with external and internal representative impacting the medical billing and patient revenue activity.  Must communicate clearly in consistent manner and work towards resolution of problems with immediate staff and other managers.

Environment                 The work environment are general business office working conditions.

Physical Effort             The physical demands described here are representative of those that must be met by an

Employee to successfully perform the essential functions of this job. Requires minimal physical efforts and constant use of computer, telephone and fine printed information.  While performing the duties of this job, the employee is frequently required to stand, walk, sit, and use hands to finger, handle or feel.  The employee is occasionally required to reach with hands and arms, climb or balance, and talk or hear.  The employee must frequently lift and/or move up to 25 pounds.

Occupational Risks       Regular volume of work and deadlines impose stress on routine basis.  Frequent interruptions. The noise level in work environment is usually low to moderate.

Character of

Supervision                  This position does not require supervision.