Patient Account Rep

Serves in a professional capacity as a patient account representative in the Patient Financial Services (PFS) department at Glenwood Medical Associates. Demonstrates great communication and people skills, both with internal and external customers. Maintains a high level of professionalism when dealing with interdepartmental issues by placing the customer first. Works directly and courteously with patients by providing information and explanation of billed clinical services and collection proceedings. This position relies on instructions and pre-established guidelines to perform the functions of the job; persons must be able to take direction well and demonstrate understanding of such guidelines.

DUTIES AND RESPONSIBILITIES:

1) Works with patients in a friendly and effective manner on billing and collection issues

2) Assists with the training of other PFS staff

3) Works and completes aged reports by claim center, unapplied reports, and refunds

4) Data entry for payments for various physicians and nurse practitioner receipts

5) Responds to insurance correspondence and files courtesy insurance claims

6) Handles return checks and credit card payments

7) Files MVA and PIP claims

8) Handles Insurance and patient payment posting

9) Works bankruptcy notices

10) Sets up budget accounts

11) Utilizes collection module when dealing with collection accounts

12) Proofs and mails 1500’s for paper claims when necessary

13) Appeals all claims that are incorrectly processed or reduced

14) Submits attorney charges and posts payments

15) Attends educational classes when necessary to enhance knowledge base

16) Other duties as assigned by PFS Supervisor or Manager

17) Completes Bad address and Missing encounter reports

18) Must be able to travel between offices as requested.

SPECIAL QUALIFICATIONS: Previous medical office experience and knowledge of debits and credits preferred. Knowledge of CPT and ICD-10 coding a plus. Must have basic computer skills and some collection experience. Must be able to establish priorities, meet deadlines, work well under pressure. Must be a team player.