Patient Account Representative - Remote
United States
JOB SUMMARY
The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.
Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the following:
- Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
- Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions
- Access payer websites and discern pertinent data to resolve accounts
- Utilize all available job aids provided for appropriateness in Patient Accounting processes
- Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
- Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
- Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities
- Provide support for team members that may be absent or backlogged
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action …
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Position may be eligible for a signing bonus for qualified new hires
Benefits/Perks401k with up to 6% employer match Competitive benefits package Dental Disability Employee assistance Employee Assistance Program Employee Discount Program Health Savings Accounts Life Insurance Medical Paid holidays Paid Time Off Signing bonus Vision Voluntary benefits
Tasks- Assisting with special projects
- Contacting payors and patients
- Ensuring compliance with laws and regulations
- Leadership
- Maintaining desk inventory
- Requesting additional documentation
- Researching accounts
- Reviewing contracts
- Special projects as assigned
- Updating information
ACE Analytical Basic Computer Call Center Environment Claim Submission Coding Commercial Insurance Compliance Computer Critical thinking Excel Healthcare industry expertise Hospital billing Insurance collections Interpersonal Leadership Managed Care Medicaid Medical Records Medicare Microsoft Office Remittance Review Revenue Cycle Revenue cycle process Technical Training Word
EducationAccounting Business Business Administration College High school diploma High school diploma or equivalent Some college coursework
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9