What are the responsibilities and job description for the Patient Accounts Receivable Representative position at OrthoArizona?
Patient Accounts Services Representative
About OrthoArizona:
At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and podiatry needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists.
Today we are one of Arizona’s largest privately owned and most comprehensive orthopedic practices with more than 75 locally and nationally renowned providers across 30 locations, in addition to 2 ambulatory surgical centers and in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our employees.
As a Patient Accounts Receivable Representative with OrthoArizona, you will get to:
Patient Account Management & Collections
- Follow up with patients to ensure outstanding balances are paid.
- Make and receive calls from patients to discuss their account details and resolve billing concerns.
- Perform various account collection activities, including monitoring and adjusting payment plans per practice guidelines.
- Work accounts for external collection action after exhausting all internal collection efforts.
- Process bankruptcy notices according to company policy.
Payment Processing & Financial Transactions
- Receive, process, and post patient credit card payments.
- Take payments over the phone and set up payment arrangements when necessary.
- Research and prepare patient credits, coordinating with accounting for approved refunds.
- Complete appropriate account adjustments while adhering to practice guidelines.
Billing & Account Accuracy
- Prepare and monitor patient billing statements to ensure accuracy.
- Monitor accounts for accurate billing information and make necessary corrections.
- Identify and resolve claim and account issues through reporting and auditing.
- Investigate and review outstanding A/R accounts to ensure prompt and proper payment.
Communication & Compliance
- Answer account-related questions from insurance companies, patients, staff, and providers.
- Respond promptly to email and telephone messages.
- Keep the supervisor informed of all patient account issues and concerns.
- Ensure compliance with HIPAA, OSHA, and red flag rules.
Administrative & Miscellaneous Duties
- Complete required monthly audits.
- Make necessary demogaphic updates to ensure clean patient statements.
- Perform all other assigned duties.
Qualifications
- High School diploma or equivalent
- Minimum 1-year medical billing experience
- Orthopedic background is a plus
- Working knowledge of CMS guidelines, contracted insurance guidelines, and coding policies
- Demonstrated computer and math skills
- Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment
- Excellent verbal and written communication skills
- Ability to maintain a high level of confidentiality (HIPAA guidelines and regulations) and professionalism
