Patient Account Rep

Under the direction of the department manager, the Patient Account Representative is responsible for the timely resolution of outstanding accounts due from third party carriers, individual patients and refunds. This includes account analysis, insurance contact, written correspondence and denied claims

Job Duties:

• Insurance follow up via phone and through insurance portal
• This includes account analysis, telephone contact, written correspondence, financial arrangements for payments and recommendations for account write-off or agency assignment
• Complete inquiry forms accurately and completely to expedite account resolution
• Displays professional commitment and supports the unit team by promoting unity and teamwork among coworkers by maintaining a positive attitude and positive working relationships
• Handle incoming correspondence and returned mail on a timely basis
• Identify late charges, obtain supporting documentation, update contractual adjustment on the account and have a corrected claim submitted to the insurance carrier in a timely manner
• Maintain accurate and complete notes on the patient account note area within the current computer system
• Maintain productivity report for accounts within assigned responsibility and
• Meet or exceed productivity and monthly insurance collection goals as assigned by Manager
• Obtain all necessary documentation from patient, insurance company, or third payer intermediary to ensure all accounts are being resolved according to established hospital guidelines
• Obtain approvals per procedure guidelines for any adjustments
• Prepare refund request and obtain supporting documentation for credit balance resolution per established guidelines

Medical Billing, Refunds, Medical Collections, UB04, EOB