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PATIENT ACCOUNT REPRESENTATIVE-Blue Cross

FFAM360
ATLANTA, GA
Permanent

In office for days, then the position is Remote

TEMP-TO-HIRE

Must Live in Georgia

Orthopedic experience

ASC AR Follow up for the Insurance Plan Blue Cross

Experience with Amkia and Athena preferred

Summary

Responsible for a variety of medical office / clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts;

investigates account status and initiates collection procedures.

Essential Duties and Responsibilities

  • Timely and appropriate resolution of all assigned accounts for third party payors and / or patients with the purpose of managing account receivables balances.
  • Identify and communicate AR trends, denial issues or irregularity impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution.
  • Responsible for accurate and timely charge capture for clinic and hospital-based services.
  • Maintains up-to-date knowledge of third-party billing and reimbursement, clinic's financial policies and industry knowledge.
  • Prepares and submits daily productive reports as required.
  • Completes annual compliance and regulatory requirements as applicable.

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.

Competencies

  • Analytical - Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data.
  • Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; shares expertise with others.
  • Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments;

requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.

Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity;

keeps technical skills up to date.

Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions;

works well in group problem-solving situations; uses reason even when dealing with emotional topics.

Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service;

responds to requests for service and assistance; meets commitments.

Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension;

keeps others adequately informed; selects and uses appropriate communication methods.

Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback;

contributes to building a positive team spirit; puts success of team above own interests.

  • Written Communication - Writes clearly and informatively.
  • Conflict Resolution - Encourages open communications; maintains objectivity.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and / or Experience

High school diploma or general education degree (GED). Minimum years of medical billing and account follow-up experience.

Knowledge of ICD-, CPT, HCPCS, and the use of modifiers preferred. Familiar with CMS / UB claim form completion, knowledge of Medicare, Managed care, and commercial insurance products and plans.

Knowledge of physician billing and / or collections. Typing speed wpm and the ability to use a calculator.

Location

This position is based in ATLANTA, GA . Enjoy the vibrant culture, diverse community, and rich history of this bustling city.

30+ days ago
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