Patient Account Representative - Professional Govt FU

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.
• 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.
• Pays attention to detail, Maintains professional standards, Effective organizational skills, Basic knowledge of medical claims processing, Ability to maintain confidentiality, Ability to communicate verbally and in writing, Ability to work independently, Ability to follow oral and written directions, Ability to work effectively with others, Ability to read, write, type, and follow oral and written directions, Ability to work independently to effectively and efficiently perform assigned duties, and proven ability to work effectively with others.