Patient Accounts Representative Specialist

Job Description

Directly responsible for daily billing of insurance claims and collection activity on outstanding payor accounts and self-pay encounters to manage account receivables. This position is accountable for monitoring and reconciling accounts with appropriate workflow processes to ensure accurate account resolution. Has thorough knowledge of third-party carriers; government payors; special programs; and University Health Financial Assistance program. Meets quality measures set forth by regulatory compliance standards, Federal Regulations, and department protocols.

Responsibilities

• Maintain accurate and timely billing of insurance claims and collection activity on outstanding payor accounts and self-pay encounters.
• Monitor and reconcile accounts with appropriate workflow processes to ensure accurate account resolution.
• Ensure compliance with regulatory compliance standards, Federal Regulations, and department protocols.
• Generate regular reports to assist the Manager and/or Director of the department.
• Identify process development or improvement for current on-going activities.
• Aid in team meetings by supplying input on trends, issues, or payor notices.
• Use a variety of electronic systems in the course of this work and display high customer service standards.

Minimum Requirements

• Associates degree or equivalent in combination of education and experience.
• Three (3) years’ minimum experience with insurance billing and/or claims follow up in a hospital business office, physician’s office, or insurance billing environment or relevant experience in use of billing and claims knowledge.
• Or a total of seven years' experience in lieu of an associate’s degree.
• Experience in commercial insurance, Medicare, and Medicaid reimbursement.
• Computer literacy and math aptitude, and the ability to use 10-key calculator, computer keyboard and basic software applications, including Excel, Word and Outlook.
• Demonstrated ability to lead lower classified Patient Account Representatives.
• Extensive knowledge of third party billing procedures, acts as a day-to-day subject matter expert in their particular area of expertise.
• Experience with 837i and HIPAA transaction sets such as ICD/CPT/HCPC coding, revenue codes, ICD-10 and knowledge of medical terminology.
• Good Oral and written communication skills.

Pay

N/A

Schedule

8:00AM - 4:30PM