Patient Accounts Representative

Job Summary The Patient Accounts Representative is responsible for timely and accurate billing and collections of hospital claims to patients and third party payers. Review and analyze information contained on claims for accurate submission to third party payers to remit payment. Responsible for all phases of billing and attaching appropriate documentation for payment. Analyzes payments and adjustments for accuracy. Displays flexibility regarding work assignments. This position also handles many responsibilities as it relates to customer service by handling all patient inquiries via telephone or walk-ins. These inquiries may include referrals to have accounts checked for charges, diagnosis, complaints about treatment, etc. Essential Job Responsibilities Understands the importance of internal customer services. Maintains a positive working relationship and communicates appropriately. Maintains a professional atmosphere through responsible actions and deeds. Acts in a professional manner representing the department appropriately at all times. Maintains knowledge and ensures compliance with third party payer and government billing requirements. Responds to patient questions with concern at all times, treating them with respect and dignity. Performs audits of patient accounts to ensure accuracy and timely payment. Verifies insurance benefits for commercial, Medicare and Medicaid payers via phone and website. Identifies and corrects billing errors and resubmits claims. Ensures timely follow up and appropriate escalation of outstanding claims with third party payers. Reviews EOBs and initiates appeals as necessary. Verifies payments and discounts with insurance carriers. Works appeals and denials. Performs other duties as assigned or requested. Regular and reliable attendance is an essential function of this position. Job Qualifications Required: High School diploma or equivalent. Preferred: Two years’ experience of third party billing and follow up, in a healthcare setting. Benefits Tuition reimbursement to support continuing education. Professional development and recognition. Excellent benefits. Equal Opportunity Employer We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr