PATIENT ACCOUNT REPRESENTATIVE-Blue Cross
Job Opportunity in Atlanta
Join our team in Atlanta and embark on a rewarding career in the healthcare industry. We are seeking dedicated individuals who are committed to making a difference and have the expertise to handle various insurance carriers, including workers' compensation claims.
This is an exciting opportunity for someone who is very versed in all accounts receivable (AR) and can assist with various plans as needed, specifically for ASC follow-up.
In Office for 90 Days, Then Remote
This is a TEMP-TO-HIRE position, with the potential to transition to a Direct Hire after just one month. Candidates must reside in Georgia and have orthopedic experience.
Summary
As a Patient Account Representative, you will be responsible for a variety of medical office and clerical tasks related to claims processing.
You will contact patients and responsible parties to resolve past-due accounts, investigate account status, and initiate collection procedures.
Essential Duties and Responsibilities
Timely and appropriate resolution of all assigned accounts for third-party payors and / or patients to manage account receivables balances.
Identify and communicate AR trends, denial issues, or irregularities impacting resolution of AR or daily production workflow to supervisor and team members, and recommend resolutions.
Responsible for accurate and timely charge capture for clinic and hospital-based services.
Maintain up-to-date knowledge of third-party billing and reimbursement, clinic's financial policies, and industry knowledge.
Prepare and submit daily productive reports as required.
Complete 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 5 years of medical billing and account follow-up experience.
Knowledge of ICD-10, CPT, HCPCS, and the use of modifiers preferred. Familiar with CMS 1500 / UB04 claim form completion, knowledge of Medicare, Managed care, and commercial insurance products and plans.
Knowledge of physician billing and / or collections. Typing speed 55 wpm and the ability to use a calculator. We are looking for someone very versed in all AR and able to assist with various plans as needed.
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