Patient Account Rep/Follow-Up

Responsibilities

• Filing insurance claims for all third party payers.
• Addressing and reporting repetitive edits to management for system correction.
• Processing credit balances and issuing refund requests.
• Analyzing daily electronic billing reports for errors.
• Identifying and correcting claims with errors preventing acceptance.
• Daily reconciliation of claim submission and receipt.
• Proactively addressing billing and follow-up issues.
• Following up on unpaid or denied claims.
• Incorporating high dollar report and denial queue into followup activity.
• Staying informed of billing and reimbursement rules and regulations.
• Utilizing tools provided by third party payors such as websites, meetings, seminars, and provider reps.
• Promoting a high level of professionalism, both technically and personally.
• Possessing a strong work ethic and exhibiting optimism.
• Maintaining a professional appearance and positive attitude.
• Promoting positive relationships among co-workers.
• Communicating effectively within the department and keeping management informed on key issues.

Qualifications/Requirements

• 1-3 years of office experience, preferably in a medical-related field or equivalent education.