Patient Account Representative

Overview:

• To provide timely and accurate account resolution on business assigned to us by our clients. A Patient Account Rep reviews and resolves issues in order to collect payment from third-party on patient accounts which in turn will positively impact the client's AR. Role holders experience and specific knowledge of hospital AR will help resolve accounts in an efficient manner.

MINIMUM REQUIREMENTS

• High school diploma or equivalent.

• Minimum 1 year experience working in EPIC, preferably on PB side

• Proficient in Microsoft Office, including Excel and Word

• Ability to communicate professionally in writing.

• Professional phone étiquette a must.

• Must have strong time management and organization skills.

• At least two to four years of experience with hospital and provider/professional billing, AR collections and follow-up.

• Ability and ease in navigating payor portals, such as Availity, UHC, etc.

• Working knowledge of third-party payers and contracts, billing requirements, medical terminology, and system applications.

PREFERRED SKILLS & CERTIFICATIONS

• Medicare, Managed Care payors including Medicare, Medicaid, Cigna, UHC, Aetna, Blue Cross, Humana, etc.

• Certified medical billing and coding experience a plus.

• Ability to work independently and with a team.

• Maintain a high quality of work completed in a timely manner as dictated by client.

• Ability to solve problems through knowledge base or research.

• Great attention to detail.

• Certificate from a leading Healthcare Organization such as AAHAM, AHIMA, HFMA, etc.

PRINCIPLE RESPONSIBILITIES

• Communicate with appropriate party (insurance company, attorney, place of employment, insured, etc.) via payor portals, calls, faxing, etc. for prompt account resolution.

• Accurately document accounts with correct information received and take appropriate system action.

• Audit assigned work to assure accounts are addressed timely.

• Identify trends found during follow up process.

• Inform Team Supervisor of any payor or other issues effecting

Skills:

EPIC,Microsoft Office, including Excel and Word