Clinic Patient Accounting Representative

About the role

The Clinic Patient Accounting Representative manages the filing of claims, payment posting, and follow-up tasks for designated insurance companies. This role is responsible for the entire process from claim submission to payment reconciliation, working under general supervision.

Responsibilities

• Assists in the daily close reconciliation of cash drawers and serves as a backup to the Billing Supervisor for deposit input and check processing, ensuring accurate financial transactions.
• Assists with evaluation of patient accounts to provide the patient with account status, payment information, denial information, and other items as needed.
• Handles follow-up on denied claims for assigned insurance companies, promptly resolving claim issues to prevent accounts from entering the 60+ days aging category, ensuring timely reimbursement.
• Identifies patients with insurance balances exceeding $100 (patient or insurance) and refers them to the Collections Specialist for phone contact and follow-up, aiming to efficiently resolve outstanding balances.
• Identifies and addresses claims processing issues, including appeals, medical records requests, coordination of benefits questionnaires, and pre-existing condition questionnaires, ensuring accurate and timely claims processing.
• Posts patient payments in both the new and the legacy system, accurately recording financial transactions and contributing to precise accounting records.
• Performs other duties as assigned.

Requirements

• High School Diploma or equivalent (required).
• 1 year of relevant experience (required).