What are the responsibilities and job description for the Patient Account Representative position at Erlanger Behavioral Health?
Call and status outstanding claims with third party payors. Review claims issues and make corrections as needed and rebill. Utilize claims clearing house to review and correct claims. Resubmit electronically when available. Review explanation of benefits to ascertain that claim processed and paid correctly. Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation. Prorate patient accounts and monitor that balance due is in the correct financial class. Report an overview of the week to the BOD and participate in AR meetings. Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps results in payment. Assist financial counselors as needed. Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.