Account Representative - Cardiology - Physician Practice

Responsibilities

• Liaison to our patients as it relates to their billing questions both in person and by phone.
• Advocates for patients when their claims are not paid properly.
• Manages all insurance plans who need auths/referrals, etc.
• Provides billing education to staff and providers.
• Responsible for all letters of medical necessity, record requests from insurance companies.
• Reviews denials and communications from MCX as needed.
• Runs and reviews revenue cycle reports as necessary.
• Communicates effectively and professionally with co-workers, insurance companies, management and physician office staff.
• Communicates trends or problems with payers.
• Accurately record all transactions posted each day.
• Enters charges: All supplied charge information is entered into the computer system timely and accurately.
• Insurance Knowledge: Knowledge of billing rules as they apply to specific payers. Able to detect and report trends, account lead and management.
• Prepares Bank Deposit as directed by practice manager.
• Aids office manager with clinical insurance requirements.
• Posts all Medical Record request fees.
• Attends all revenue cycle meetings, front end meetings, Epic update meetings and all billing and coding inservices.
• Disseminates all pertinent takeaways to staff and providers as needed.
• Runs all EPIC Revenue Cycle reports daily, weekly and monthly.
• Answer Phones promptly, callbacks are done within 24 hours of receiving messages.
• All written or verbal communication with patients, insurance companies and office staff is documented in medical record.
• Cross trained and used to backfill a Medical Receptionist whenever needed.

Qualifications

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Prior billing knowledge.
• Possess the knowledge of ICD-10 and CPT codes to ensure accurate processing claims and denials.
• Preferred: Certified Professional Coder.