PT ACCOUNT REP I-CLINIC

Position Summary

This position will be responsible for all aspects of the insurance and billing process.

Responsibilities

• Reviews medical records to ensure that ICD-9 and CPT codes are used in accordance with coding and reimbursement guidelines.
• Ensures that charges for all services are captured.
• Posts office and hospital charges.
• Files claims to insurance companies.
• Sends statements to patients.
• Posts personal, insurance and collection agency payments.
• Follows-up with insurance companies regarding unpaid claims.
• Reviews credit balance accounts and generates refunds when appropriate.
• Reviews delinquent accounts and conducts collection activities including letters, phone calls and turn-over to collection agencies when appropriate.
• Conducts in-office collection activities including reviewing accounts prior to office visits, establishing delivery contracts with patients, explaining accounts to patients and setting up payment plans.
• Responds to patients’ phone calls regarding billing questions.
• Completes insurance company credentialing paperwork for provider participation.
• Serves as a back-up for all clerical positions.

Qualifications

• Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.
• Preference may be given to individuals possessing a HS diploma or GED.
• Minimum Experience: Experience in medical billing or financial area required.
• Strong knowledge of medical terminology preferred.
• Must be familiar with insurance plans and requirements and collection practices.