Patient Accounts Insurance Representative

Job Opportunity In Glen Allen, Va

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The responsibilities of this job include, but are not limited to, the following :

• Reviewing processed claims to ensure proper payments received according to the payers' contract
• Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment
• Verifying eligibility, benefits, plan type, patient responsibility and insurance payments
• Correcting registration errors on patients' accounts
• Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts
• Verifying that claims are filed according to the contracted agreement
• Effectively communicating insurance trends or issues to the appropriate persons, including but not limited to Patient Satisfaction Specialist (PSS), Team Leads, Supervisor, and the contracting department
• Maintaining low accounts receivable days for assigned insurances
• Maintaining the daily work flow goals established for the Patient Account Insurance Representative department
• Following departmental policies and procedures
• Answering phone calls to provide customer service to patients, insurance representatives, center employees, and the Administrative Offices
• Resolving and responding to account inquiries from patients, insurance representatives, center employees, and all other Administrative Office staff as necessary and in a timely manner
• Processing patients' payments and established payment plans
• Establishing and maintaining a working relationship with payer representatives to ensure proper claims filing and insurance payments
• Keeping informed of all changes relating to insurance policies and filing procedures, according to contracted agreements

Minimum education and professional requirements include, but are not limited to, the following :