ACCOUNT REPRESENTATIVE

Overview

Complete billing process of all individual patient accounts for all Clients contracting services with Professional Billing Services.  Payments, actual insurance claim submission, account follow-up for payment, collection of self-pay receivables, and referrals to bad debt. 

• Position Type: Full-Time 
• Hours: 08:00AM - 04:30PM
• Weekends: N/A

Qualifications

Education:

• High school graduate or its equivalency is required.

Experience:

• Minimum of one (1) year experience in billing and collections routines, insurance claims processing, and data entry preferred.
• One (1) year experience working with physicians and/or patients on an ongoing basis or its equivalency is preferred.
• Minimum of one (1) years of experience or its equivalency with personal computers.
• Minimum of one (1) year of telephone collection experience as a medical debt collector is preferred.

Other Knowledge/Skills/Abilities:

• Strong communication skills are required
• Understanding of CPT, ICD-9 or ICD-10 coding, and Medical terminology preferred.
• Understanding of insurance forms UB04, HCFA 1500 and Medicaid forms.
• Understand and interpret Explanation of Benefits (EOB’s).
• Required to use 10-key numeric pad.
• Capable of typing 30-40 wpm preferred.
• Limited physical requirements, primarily sedentary. Will occasionally have to lift small boxes weighing up to 50 lbs.

Responsibilities

• Insures the accuracy and validity of the demographic and insurance information.

• Post insurance and/or personal payments as well as adjustments as directed and indicated on EOB’s, balancing input amounts against the control totals for the individual accounts upon completion of entry.

• Processes and complete daily deposits prior to 2:00 pm daily.

• Review and process all health insurance claims received daily.

• Provide insurance forms to patients when requested.

• Researches unpaid Insurance claims and follow-up for reasons of non-payment.

• Establish payment arrangements in line with the guidelines established.

• Respond to patient inquires made by telephone or in writing.

• Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.

• Research and correct edits or errors in claim scrubber system.

• Respond to Client inquiries concerning accounts via telephone or e-mail.

• Demonstrate a professional behavior and provide Excellent Customer Service at all times.

• Performs other duties as assigned.