Patient Account Representative

Job Title: Patient Account Representative
Department: Finance
Reports To: Revenue Cycle Manager
FLSA Status: Non-exempt (hourly)
Work Schedule: Monday-Friday, 8:00 A.M. - 5:00 P.M., and occasional overtime as needed.

Summary:
Processes charges and receivables. File insurance claims, interpret insurance explanation of benefits, and ensure follow-up with insurance companies to resolve processing issues and denials. 

This work must be completed at an acceptable volume per day and in accordance with the Practice’s core values of Excellence, Innovation, Collaboration, Advancement, Stewardship, and Patient Centered Care.

Essential Duties and Responsibilities:
 Promote the mission, vision, and values of the Practice
 Participate in performance and continuous quality improvement activities
 Daily balancing of payments received, collects and balances payments received at checkout from previous day, and take daily deposit to bank
 Post charges, insurance, personal and miscellaneous payments to patient accounts
 Performs end of month functions, including but not limited to generating end of month reports, scheduling end of month backup of practice management system, and maintain monthly Cash Receipts report using Excel
 Maintain updated policy and procedure manual
 Assist with research and processing of monthly refunds

Other Duties as assigned, including:

• Review and resolve patient accounts with outstanding balances due from insurance companies
• Contact insurance companies to verify claim status and verify eligibility
• Maintain current knowledge of insurance payer policies and communicate denial trends to management
• Access payer websites to obtain information and communicate updates regarding medical or claim filing policy changes to management
• Interpret payment rates and rules for managed care agreements to ensure payments are being made correctly by the plan
• Determine insurance coverage and benefits for accounts and have a solid understanding of coordination of benefits
• Examine remittance advices and resolve issues to facilitate prompt payment of claims
• Maintain acceptable days in accounts receivable and percentage of accounts receivable greater than 120 days
• Review and work accounts with credit balances
• File appeals to insurance companies when necessary Other related duties as assigned

Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience:
 High School diploma or GED required
 Minimum of one year clerical experience, preferably in an accounting positon
 Basic computer skills required, including Excel

Experience with a 10 key calculator required
 Basic math skills
Required Behaviors:
 Good communications skills required
 Ability to prioritize tasks and work independently
 Ability to work independently with minimal supervision and meet deadlines
 Ability to deal with frequent change, delays, and/or unexpected events
 Must be willing to work in a team environment and contribute to building a positive team spirit
 Must be highly organized to successfully manage multiple tasks simultaneously
 Must demonstrate professionalism through appearance and extensive interactions with others
 Exhibit pleasant, professional telephone etiquette at all times
Physical Demands:
 Extended periods of sitting, keyboarding
 Occasional lifting and/or moving up to 10 pounds.

Salary : $16