Patient Account Representative

Job Summary

Under general supervision of the CFO and/or Business Office Manager, the Patient Account Representative may participate in any or all aspects of the patient accounts and receivable functions of the organization including billing, charge entry, collection, payment posting and credit balance resolution. He/she may reconcile daily reports. He/she may balance monthly transactions and provide summaries to finance department and administration.

Qualifications

Two years of paid Medical Billing/Collections experience is preferred. A high school diploma or equivalent is required. Must have experience with billing/claim submission and revenue cycle collections. Knowledge of patient accounting and business office procedures is required. Must have excellent mathematical, written, and verbal communication skills.

Duties and Responsibilities

• Track claims or charges and monitor third-party payers.


• Inform billing Supervisor/CFO of any insurance issues (third party billing).


• Update patient accounts.


• Contact payers in order to obtain claim status consistently.


• Ensure that all activities related to physician billing meet requirements.


• Resubmit claims, appeals/denials, 1500, and extensive knowledge of Commercial/Government insurance.


• Perform other job related duties as assigned by Management.