Patient Account Representative - Follow Up

Responsibilities

• Engages in core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, and billing records review.
• Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
• Complies with policies, processes and department guidelines for assigned revenue cycle duties.
• Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
• Processes assigned reports, worklists, and patient accounts with high accuracy and attention to detail.
• Collaborates with management and co-workers in an open and positive manner.
• Communicate with patients regarding their accounts, answer billing questions, and provide information on payment options.
• Verify patient insurance coverage and benefits, and coordinate with insurance companies to resolve any discrepancies.

Qualifications

• High school diploma or GED and one (1) year of related revenue cycle experience.
• Knowledge of ICD-10/HCPCS/CPT coding.
• Basic knowledge of third-party insurance and government insurance plans.

Skills & Abilities

• Basic knowledge of medical claims processing.
• Ability to maintain confidentiality.
• Good verbal and written communication skills.
• Maintains professional standards.
• Effective organizational skills.
• Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.
• Basic knowledge of medical terminology.
• Basic knowledge of revenue cycle functions.
• Ability to pay attention to detail.
• Ability to maintain a professional appearance and attitude.
• Read, write, type, and follow oral and written directions.
• Ability to work independently to effectively and efficiently perform assigned duties.
• Proven ability to work effectively with others.

Physical And Environmental Demands

• Occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold.
• Occasional handling or working with potentially dangerous equipment.
• Occasional working hours beyond regularly scheduled hours.
• Occasional travelling to offsite locations.
• No activities subject to significant volume changes of a seasonal/clinical nature.
• Occasional work produced is subject to precise measures of quantity and quality.
• Occasional bending.
• Occasional lifting/carrying up to 10 pounds.
• Occasional lifting/carrying up to 25 pounds.
• Occasional lifting/carrying up to 50 pounds.
• Occasional lifting/carrying up to 75 pounds.
• Occasional lifting/carrying up to 100 pounds.
• No lifting/carrying 100 pounds or more.
• No climbing.
• No crawling.
• Occasional crouching/stooping.
• Occasional driving.
• Occasional kneeling.
• Occasional pushing/pulling.
• Frequent reaching.
• Frequent sitting.
• Frequent, standing.
• Occasional twisting.
• Frequent walking.