Patient Accounts Representative

Description

General: Performance Expectations

1. Responsible - works independently, in a safe and appropriate manner. Demonstrates both problem-solving and problem-prevention skills.
2. Sensitive - displays sensitivity to the needs of patients and co-workers. Demonstrates good communications skills and empathy.
3. Timely - recognizes time as a customer's most valuable resource and responds promptly to patients' and co-workers' needs.
4. Accurate - works carefully and precisely, with attention to detail.
5. Coordinated - organizes and delivers service in the proper order. Displays good organization skills and utilizes resources wisely.
6. Thorough - meets all the requirements of his/her position. Is able to evaluate and follow up on his/her services.

Role Specific: Work role responsibilities

1. Review rejected primary and secondary insurances claims daily.
2. Review and follow-up on unpaid claims through task manager daily. 
3. Contact insurance companies regarding payment discrepancies, denials, and overpayments. 
4. Complete appeals for denied charges following insurance and CCI guidelines.
5. Utilize and understand multiple insurance websites for claims processing. 
6. Complaints are handled by patient account representative following billing guidelines. 
7. Interact with the providers when necessary.
8. Callers are addressed with courtesy.
9. Adheres to policies and procedures in the Personnel and Operational manuals.
10. Responds to request from other departments in a timely, positive, and friendly manner.

Requirements

Required - High school diploma/GED

Preferred - Associates in Medical Billing and Coding, 3-5 years experience

1. Minimum 1 -3 years experience in medical office setting, multispecialty preferred. 
2. Good computer skills.
3. Skill in performing repetitive duties of operating CRT.
4. Ability to follow specific instruction and set procedures to transfer data into computer.
5. Working knowledge of medical terminology.
6. Knowledge of insurance guidelines.
7. Good computer skills.
8. Background of CPT and ICD coding.
9. Hearing adequate to perform essential functions of job.
10. Normal visual acuity.
11. Must be able to sit and work at computer for long periods of time.
12. Ability to establish effective working relationships with coworkers.

Catalyst Medical Group will provide equal opportunity employment to all employees and applicants for employment. No person 

shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or 

intellectual disability, marital status, parental status, sexual orientation or any other category protected by law.