Patient Account Representative

General Description

The Patient Account Representative is responsible for billing and collecting outstanding insurance balances in a timely manner.

Essential Job Duties

• Bill and/or rebill insurance claims within payer timely filing limits
• Review all accounts within assigned inventory and attempt to collect outstanding insurance balances
• Check payer websites and/or call payers for updated claim statuses and processing
• Resolve payer denials by submitting corrected claims or appeals
• Escalate payer issues to Patient Accounts Manager and join payer meetings
• Coordinate with billers/collectors, Self Pay collections team, coding, registration, cash posting, and other hospital staff
• Answer incoming phone calls
• Follow collection policies and procedures

Other (Non-Essential) Job Duties

• Maintain notes in patient accounts for all actions taken
• Works as a team member within the business office
• Attends in-service training and education sessions, as assigned
• Performs specific work duties and responsibilities assigned by supervisor

Minimum Qualifications

• High school diploma or equivalent required
• Two or more years of insurance claims processing in a medical setting
• Two or more years of healthcare collection experience required
• Knowledge of Medicare, AHCCCS and Commercial Insurances
• Computer literate with Windows Basics, experience with EHR and Electronic billing practices
• Professional Appearance and Conduct

Preferred Qualifications

• ICD 10, CPT Coding, and Medical Terminology

Physical Requirements / Working Conditions

• Must be able to sit for long periods. Must be able to operate standard office equipment.   Must be able to lift and carry up to 20 lbs. Must be able to work paying close attention to detail with frequent interruptions.