Patient Accounts Rep Physicians - Full Time - Days

Essential Job Responsibilities:

• Maintains and controls an assigned section of patient accounts.


• Reviews files daily and checks final amounts for accuracy and completeness, verifies and edits patient demographic and insurance information prior to claims submission.


• Ensures the accuracy of accounting for all accounts.


• Records late charges on patient accounts for appropriate logs.

• Enters required UB92 and/or physician billing 1500 information, or other pertinent information not in the system for electronic transmission of insurance claims.


• Prepares and submits claims to carriers and intermediaries within 24 hours after all information is available for billing.


• Monitors accounts for trace follow-up to insurance company and/or employer when necessary.


• Processes and responds to correspondence from patients, insurance companies or third parties regarding insurance benefits, unpaid claims, and account balances.


• Contacts patient account guarantors by telephone or mail to secure contracts or collection of payments.


• Ensures the effective billing for accounts queued in other web based software 


• Serves as a back-up for the Hospital Financial Counselor/Business Office Cashier.


• Ensures that accounting entries are made according to generally accepted accounting principles and CRHS policy.


• Reviews account status for referral to outside collection agencies prior to write off.


• Resolves payment problems with patients and third party payers.


• Complies with all CRHS privacy policies and procedures including those implementing the HIPAA Privacy rule.


• Reviews accounts records and ensures that collection letters are sent and debtors are contacted according to established hospital policy.


• Attends in-service training, education programs and meetings as required or directed.


• Adheres to established CRHS and departmental policies, procedures and objectives for quality assurance, safety, environmental, and infection control.


• Performs other related job duties as assigned