PATIENT ACCOUNT REPRESENTATIVE

General Summary of Duties: Coordination of accurate patient and insurance billing and
follow-up for timely recovery of surgical and clinical charges for patient services rendered.
Serves as clinical representative in communication with patient and insurance companies
concerning surgical and clinical charges.
Supervision Received: Reports to Business Office Manager
Supervision Exercised: None
Typical Physical Demands: Requires sitting for long periods of time. Working under stress
and use of a telephone required. Manual dexterity required for use of computer keyboard.
Typical Working Conditions: Working in an office environment.
Principal Duties: Process Remit Denials, add referring doctors and resubmit claims to
Medicaid, filing claims to secondary insurance, keying claims for secondaries to Medicaid
and BCBS, Work reports (following up on status of claims, calling in corrections to
Medicare) take credit card payments, assist clinical staff by answering questions about
insurance companies to guarantee proper payment for our services, assist patients with
insurance questions, key corrections into system and other duties as assigned.
Licenses, Certifications or Education Requirements: None
Experience, Knowledge, Skills and Abilities: Knowledge of guidelines for applicable
payers or primary, secondary and tertiary billing. Current knowledge of all electronic
software utilized in the billing department. Ability to follow and develop specific instructions
and set procedures. Ability to work to precise and established standards of accuracy to enter
data at a high rate of speed. Ability to work pleasantly and effectively with patients and
coworkers. Ability to communicate clearly.