Associate Patient Account Representative

Responsibilities

• Performs charge and payment entry; ensures accurate completion of coding for all assigned physician specialties.
• Aids review of physician's coding and identifies possible conflicts in rules; notifies physician when discrepancies are identified for correction.
• Coordinates incoming mail with open queue charges to maintain queue status.
• Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them.
• Creates detailed, well-versed typed letters to insurances and patients.
• Creates effective appeal packages to submit to insurances.
• Communicates in an effective professional manner when speaking with insurances and patients.
• Maintains organized files of incoming and completed work.
• Performs related duties as required.

Requirements

• High School Diploma or equivalent required.
• 0-1 years of relevant experience.