Patient Account Representative

Purpose Of Position

This position provides support for recovering back-end revenue by ensuring timely and accurate processing of patient accounts to both third party payors and patients/guarantors. Promotes and maintains professional and positive patient and family experience as the last impression of the organization.

Core Responsibilities And Duties

• Responsible for resolving front end claim edits to ensure accurate and timely clean claim submission to third party payors for adjudication.
• Follows up on outstanding patient accounts to clarify reason or delayed and/or delinquent processing and resolving technical denials to ensure accurate and timely processing in order to reconcile outstanding balances.
• Demonstrates competency in organizational systems including: Cerner Revenue Cycle, Change Healthcare, eDOCS, online resources and other relevant technology.
• Adheres to all organization and department policies, guidelines, and workflows to eliminate errors in practice.
• Independently completes annual training as assigned.
• Completes self-assessment timely and with contributing comments.
• Completes 80% of peer feedback for direct peers.

Qualifications

• High School Diploma/ GED
• 1-3 years’ experience in customer service, administrative or healthcare setting
• Advanced education (Associate or Bachelors) preferred
• 2+ years of medical billing or coding experience that includes exposure to payor DME Billing Experience