Patient Account Representative

Essential Functions

• Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
• Verifies completeness and accuracy of billing data and revises any errors.
• Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.
• Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.
• Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.
• Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out-of-network procedures and refers adjustments according to established guidelines.
• Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.

Maintains and Protects Confidentiality

• Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information.

Manages Customer/Client Interactions

• Manages customer/client interactions in a professional manner;
• Responds promptly to requests for service and assistance, and meets those commitments.

Philosophy, Mission, and Values

• Demonstrates the spirit of the philosophy, mission, and values through words and actions, and implements them into department processes, programs, and the working environment.

Other Duties

• Performs other duties as assigned.