What are the responsibilities and job description for the Patient Account Representative - Billing position at Monterey Practice Management?
Title: Patient Account Representative - Billing
FLSA Classification: Non-exempt
Reports to: Billing Manager
Date: 12/23/2024
Company Information:
We are a specialty medical practice that includes Monterey Bay Endoscopy Center and Monterey Bay GI Consultants Medical Group with offices in Monterey and Salinas. Our practice has an outstanding reputation for quality services. Our practice works together to realize a shared vision of uncompromising excellence in Gastroenterology and Endoscopy. To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve
- Earning the trust and respect of patients, profession and community
- Exceeding your expectations
- Ensuring a creative, challenging, and compassionate professional environment
- Striving for continuous improvement at all levels
The primary functions of patient account representative are to complete and process claims. Assist patients and/or staff with accounts such as payments, claims or general questions regarding billing or insurance. Review patient accounts for collection purposes.
Essential functions - Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.
- Process and manage claims.
- Collect payments on patients’ accounts.
- Answer questions for patients regarding their accounts.
- Assist patients with payment arrangements if necessary.
- Answer questions for patients regarding insurance eligibility.
- Answer questions for patients for charge amounts for procedures and/or office visits.
- Answer general billing questions for patients and/or staff.
- Manage all outstanding accounts that may be eligible for collections.
- Responsible for checking mail and separating then given to the appropriate employee.
Billing:
- Office visits from Salinas and Monterey locations are billed daily.
- Any injections (b12 and twinrx) and breath tests (sibo, lactose and glucose) administered by medical assistants will be scanned and forwarded to billing when ready to be billed.
- Charges for all procedures done in the endoscopy center are billed daily. (Colonoscopy, upper endoscopy, sigmoidoscopy etc.)
- Doctor charges from procedures are billed daily (anesthesia and pathology).
- Pathology bill and scan into paper port.
- Collecting patient payments over the phone must have credit card in hand.
- Care credit payments are collected through the care credit website, and it must be $200 or more for each department. When collecting must be in correct department and must always be separate. Once information is entered account # MUST be inputted so once payment is received in our bank account we know where to post payment.
- Review accounts that have been outstanding for both GI and Endoscopy center.
- Accounts may fall under bad debt or in process of collections.
- Responsible for doing time of service for GI Monterey, GI Salinas, Monterey & Salinas Endoscopy Center. All accounts should be balanced.
- All checks and cash are counted and deposited separately GI Monterey and GI Salinas (1st Capital GI) and Endoscopy (1st Capital Endo).
- Responsible for entering and depositing patient payments. All checks and/or money order for payments must be separated between clinic and endoscopy center. Check # and amount received must be posted to patient’s account and correct department.
- Responsible for posting and depositing insurance checks or EOBS received. Insurance checks or EOBS will be posted under remittance, and it may be a check to be deposited or correspondence to be posted. If a check is received must label to correct department, enter amounts, check#, check date and who sent the check. Everything received needs to be scanned into paper port.
- Responsible for processing CCAH PROP 56 checks.
Competencies:
- Strong attention to detail
- Communication - written and verbal
- Customer service
- Multi-tasking
- Time management
This position is full time, Monday through Friday.
Physical demands:
Sitting up to 8 hours per day
Travel required:
Once per month – drive to other location
Required education and experience:
- High School Diploma or GED
- Work well with patients, physicians, management, and staff
- Have ability to function successfully under stressful conditions
- Have excellent data entry skills
- Experience with medical insurance preferred
- Bilingual in English/Spanish
Affirmative Action/EEO statement:
The Practice assures equal employment opportunity with respect to recruiting, hiring, training, compensation, transfers, and promotions. All policies are administered without regard to race, sex, pregnancy, childbirth, and medical conditions related to pregnancy and childbirth, age (40 and over), ancestry, color, religious creed (including religious dress and grooming practices), denial of FMLA leave, disability, marital status, medical condition (cancer and genetic characteristics), genetic information, national origin, gender, gender identity, gender expression, sexual orientation, military or veteran status or any other characteristic protected by state, federal or local law in terms and conditions of employment. Information provided on any job application for our Practice will not be used for any discriminatory purpose.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Pay Range: $21.00-$25.00 per hour
Salary : $21 - $25