Patient Account Representative

As the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital.

Responsibility includes:

Completes billing, follow up, denial resolution and appeals of accounts with payers in compliance with applicable payer and departmental guidelines and policies. Embraces and uses technology provided to complete daily tasks. Review all claims assigned prior to electronic submission and corrects any errors. Understands insurance principles, terminology and regulations. Keeps abreast of HIPAA regulations and requirements. Reports billing and collection trends and issues to Coordinator Communicates information regarding billing practices, insurance claims submissions, and patient responsibility to all customers in a clear, helpful and respectful manner. Answer calls and provides resolution for patients inquiring about their accounts. Works as a collaborative, constructive, cooperative team member within the Patient Financial Service Department and Hospital departments. Utilizes system reports to identify and correct errors to assigned accounts. Seeks direction from the Coordinator on difficult accounts. Assists with the reconciliation of credit balance accounts, including identification and refund processes, with the PFS Coordinator. Required: High School graduate or equivalent Required with a minimum of 1 year of hospital facility billing experience or graduate from a medical billing program.# Knowledge of medical coding and medical terminology is preferred.

Preferred:

Knowledge of medical coding and medical terminology

As the Patient Account Representative, you will be responsible for ensuring accurate and timely billing and collection of assigned patient accounts with the goal of providing patient-focused customer service and achieving the departmental goal of ensuring maximum revenue and cash flow benefit to the hospital.

Responsibility includes:

• Completes billing, follow up, denial resolution and appeals of accounts with payers in compliance with applicable payer and departmental guidelines and policies.

• Embraces and uses technology provided to complete daily tasks.

• Review all claims assigned prior to electronic submission and corrects any errors.

• Understands insurance principles, terminology and regulations. Keeps abreast of HIPAA regulations and requirements.

• Reports billing and collection trends and issues to Coordinator

• Communicates information regarding billing practices, insurance claims submissions, and patient responsibility to all customers in a clear, helpful and respectful manner.

• Answer calls and provides resolution for patients inquiring about their accounts.

• Works as a collaborative, constructive, cooperative team member within the Patient Financial Service Department and Hospital departments.

• Utilizes system reports to identify and correct errors to assigned accounts. Seeks direction from the Coordinator on difficult accounts.

• Assists with the reconciliation of credit balance accounts, including identification and refund processes, with the PFS Coordinator.

Required:

• High School graduate or equivalent

• Required with a minimum of 1 year of hospital facility billing experience or graduate from a medical billing program.

• Knowledge of medical coding and medical terminology is preferred.

Preferred:

• Knowledge of medical coding and medical terminology