Patient Accounts Representative

Job Summary:

The Patient Accounts Representative will provide support to the billing department and revenue cycle for GHSE, GSCP.  

Duties/Responsibilities:

• Troubleshoot and problem solve accounts 
• Posting of private and insurance payments/vouchers 
• Completing adjustments to patient accounts 
• Updating of patient insurance information, including memo entry for billing documentation 
• Customer service - answer billing inquiries from patients and/or healthcare providers 
• Submit refunds for patient or insurance over-payments to Billing Manager for review
• Follow collection process; includes written and verbal correspondence with patients on unpaid claims. 
• Write protest/appeal letters to insurance companies.
• Rebill accounts 
• Ability to interpret EOBs and resolve errors. 
• Knowledge of various fee schedules for carriers.
• Make recommendations for process revisions or improvement initiatives under direction of the Billing Manager
• Provide support and assist in the resolution of patient account issues and payment plan arrangements, report to Billing Manager the same day. 
• Create chart, enter data, insurance and post charges as necessary. 
• Maintain HIPAA compliance. 
• Performs other duties as assigned.

Required Skills/Abilities: 

• Excellent verbal and written communication skills. 
• Excellent organizational skills and attention to detail.
• Ability to prioritize tasks.
• Ability to create and present ideas in a variety of formats.
• Ability to maintain confidential records.
• Proficient with Microsoft Office Suite or related software.

Education and Experience:

• Three years of billing and coding experience required.
• Knowledge of the philosophy, mission, leadership needs, and planning requirements of the organization preferred.
• 1 year of orthopedic, surgical and ASC experience.
• Knowledge of worker’s compensation and Medicare reimbursement practices in an orthopedic and ASC setting.

Physical Requirements: 

• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.