Patient Accounts Representative, Accounts Receivable Claims

Hybrid after successful 90-day orientation.

Schedule

• Monday through Friday, 7:30am - 4:00pm or 8:00am - 4:30pm

Responsibilities

• Identifies items to be billed by procedure and services performed.
• Obtains necessary documentation for billing and obtains pre-certifications.
• Enters all charges and submits bills in accordance with Patient Accounting policy.
• Posts payments, performs daily reconciliations, produces daily census, and performs month end close.
• Maintains data in billing management system, i.e. updating current and adding new demographic information, and ensures that documentation entered is accurate and complete.
• Analyzes, identifies and trends billing issues to proactively reduce denials and variances.
• Works system generated reports such as residual balance, credits, no-pay.
• Reports and resolves variances and inefficiencies, escalating accounts as necessary to resolve billing issues.
• Interacts/communicates effectively with various department staff and assists customer service inquiries both internally and externally: liaison with Patient Accounting and Physician billing services, employers, and insurance carriers to ensure accurate and timely billing process.
• Maintains open communication with management regarding billing and coding issues including documentation, denials/appeals, etc.
• Follows up on assigned insurances on a monthly basis and maintains records of declined claims requiring appeals.

Requirements

• 1-3 years experience in billing, collections, registration, or related hospital/office environment.
• Fast, accurate data entry skills.
• Good organizational skills and attention to detail.
• Ability to work in a fast-paced environment with excellent customer service and interpersonal skills.
• PC literate with a working knowledge of Microsoft Office applications (Word, Excel, Access).

Qualifications

High School diploma or equivalent.