Patient Account Representative, Administration
Position Summary :
This position will be responsible for all aspects of the insurance and billing process.
Responsibilities
- Reviews medical records to ensure that ICD-9 and CPT codes are used in accordance with coding and reimbursement guidelines.
- Ensures that charges for all services are captured.
- Posts office and hospital charges.
- Files claims to insurance companies.
- Sends statements to patients.
- Posts personal, insurance and collection agency payments.
- Follows-up with insurance companies regarding unpaid claims.
- Reviews credit balance accounts and generates refunds when appropriate.
- Reviews delinquent accounts and conducts collection activities including letters, phone calls and turn-over to collection agencies when appropriate.
- Conducts in-office collection activities including reviewing accounts prior to office visits, establishing delivery contracts with patients, explaining accounts to patients and setting up payment plans.
- Responds to patients’ phone calls regarding billing questions.
- Completes insurance company credentialing paperwork for provider participation.
- Serves as a back-up for all clerical positions.
- Perform other duties as assigned to the satisfaction of the department manager.
Qualifications
Minimum Education :
None specified; will accept any combination of formal education and / or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.
Preference may be given to individuals possessing a HS diploma or GED.
Minimum Experience :
Experience in medical billing or financial area required. Strong knowledge of medical terminology preferred. Must be familiar with insurance plans and requirements and collection practices.
Licensure Requirement :
None
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