What are the responsibilities and job description for the Patient Account Rep - TRH position at Taylor Health Care Group?
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Position Description
Responsible for daily billing, follow-up, reviewing and working edits to insure the highest reimbursement on claims.
Job Duties:
- Collects, reviews, updates and ensures systems and/or documentation for complete and accurate billing
- Follow up on claims status, investigates and resolves obstacles to prompt reimbursement
- Completes data entry as needed for claim submission, client invoicing and/or patient invoices
- Identifies and reports any payer trends, denial patterns and delays to management
- Adheres to state, federal and HIPAA laws and guidelines with regard to patient records and collections
- Contacts patients/insurance companies to collect unpaid insurance claims.
- Stays informed about changes in Medicare and Medicaid.
- Demonstrates the ability to be flexible, organized and function well in stressful situations.
- Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage.
- Treats patients/families with respect; ensures confidentiality of patient records.
- Maintains a good working relationship within the department and with other departments.
- Maintains a professional working relationship with insurance companies.
- Performs other duties as assigned.
- Ensures documentation meets current standards and policies.
- Create and work appeals and/or reconsiderations for insurance claims resolutions
- Follow-up on insurance claims by calling or online processes to insure payment
Education:
Requires a high school diploma or GED.
Training/Experience:
- Through understanding of Medicare, Medicaid, HMO’s, PPO’s private insurance companies.
- Ability to work in a fast-paced environment with shifting priorities and rapid changes
- Ability to communicate with internal and external customers in professional manner
- Ability to multi-task, establish and meet deadlines, set and achieve high performance standards
- Ability to identify and mitigate issues, make sound judgments and decisions
- Basic knowledge of revenue cycle best practices
- Ability to work independently and within teams as needed
- Moderate knowledge of Microsoft Windows and Office applications
Skills/Qualifications:
- Knowledgeable of HIPPA compliance.
- EMR/EHR Experience
- Customer Service
- Time Management
- Organization
- Attention to Detail
- Professionalism
- Quality Focus
Type: Full-time
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