Patient Account Representative

Description

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable.

Schedule:

7:00am-4:00pm PST - CANDIDATES MUST SIT IN PST

Job Description:

• Researches each account using company patient accounting applications and internet resources that are made available.

• Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.

• Utilize all available job aids provided for appropriateness in Patient Accounting processes

• Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account

• Problem solves issues and creates resolution that will bring in revenue eliminating re-work.

• Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues

• Access payer websites and discern pertinent data to resolve accounts

• Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities

Additional Skills & Qualifications

• Perform other duties as needed.

• Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging

• Participate and attend meetings

• Respond timely to emails and phone messages as appropriate

Additional Skills & Qualifications

• Insurance Collections Experience

• Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging

• Participate and attend meetings

• Respond timely to emails and phone messages as appropriate

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