Patient Accounts Rep 4

Patient Accounts Representative IV

1.0 FTE Monday through Friday 8-5 Business Office

Provide patient account support at a specific site(s) including billing, collections, billing adjustments, credit and third-party payments.

Essential Functions Include But Are Not Limited To:

• Interpret and communicate information regarding credit policies and procedures, billing practices, insurance submissions and out-of-pocket patient responsibility to patients, physicians and clinic staff.
• Serve as a liaison between the clinic and the central Business Office.
• Verify eligibility and benefits for patients; set up payment plans as necessary.
• Ensure accurate account information in all billing areas.
• Facilitate and monitor the implementation of all clinic Business Office policies and procedures at the site.
• Check fee tickets for correct coding and enter charges within 24 hours.
• Resolve account discrepancies by auditing account detail.
• Reconcile missing fee ticket report on a monthly basis.
• Effectively process patient and clinic correspondence, including requests for refunds and collections when warranted.
• Respond to inquiries from patients, physicians and employees to assist in the claim payment process, billing, registration or establishment of payment plans.
• Conduct training with physicians and clinic staff regarding Business Office policies, procedures, coding, registration, and use of clinic billing system.
• Complete all special billings including but not limited to attorney billings, SSI and DVR.
• Must have an understanding and/or basic knowledge of all the duties of Patient Accounts I, II and III positions including the ability to perform the jobs if needed.

Additional Responsibilities:

• Assist other business office personnel in the performance of their duties as assigned and as workload permits.
• Maintain confidentiality of sensitive information.
• Work as a team member within the business office and all other departments in a collaborative, constructive manner.
• Document work processes as required.
• Perform other duties as assigned.

Qualifications:

Education: High school diploma or equivalent. Associates Degree in Business preferred.

Certification/Licensure: CPC preferred.

Experience: Minimum 5 years experience in health care environment including minimum of 3 years experience in patient accounts.

Skills:

• Ability to communicate in the English language in person, by phone and in writing in a clear, concise and professional manner.
• Ability to resolve problems with minimal assistance.
• Must possess CPT and ICD coding skills as well as familiarity with clinical operating policies and procedures, insurance industry practices and Managed Care principles.
• Must possess excellent analytical skills including the ability to collect data from a variety of sources and combine to present a comprehensive summary.
• Medical terminology required.
• Must be proficient in computer skills including the ability to work with spreadsheet and word processing software.
• Strong organizational and interpersonal skills.
• Experience with conflict management.
• Excellent verbal communication skills.
• Ability to independently write correspondence appropriate for mailing to patients and insurance companies or other third parties.
• Ability to professionally represent the clinic's interests and patient concerns with parties outside of the clinic setting.
• Ability to provide leadership to others to accomplish a goal.

Other Requirements:

• Ability to work various shifts between 7:30 a.m. and 5:30 p.m. including occasional overtime.
• Ability to multi-task efficiently and effectively.
• Must be able to act calmly and effectively in a busy or stressful situation.
• Requires adherence to all policies and procedures, including standards for safety, attendance, punctuality and personal appearance.
• Must be able to establish and maintain effective working relationships with managers and peers.

Physical Requirements:

• Hearing: Adequate to perform job duties in person and over the telephone.
• Speaking: Must be able to communicate clearly to patients and coworkers in person and over the telephone.
• Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
• Other: The position is mostly sitting with standing and walking occasionally throughout the day. Requires frequent lifting and carrying of items weighing less than 5 pounds and occasional lifting and carrying items weighing up to 10 pounds. Requires occasional bending and reaching.

The Doctors Clinic currently offers the following benefits for eligible FTE's:

• Medical/Dental/Vision Insurance
• Health Savings Account (HSA), or Health Reimbursement Arrangement (HRA)
• Paid Holidays, Paid Time Off (PTO), Long Term Illness (LTI) Leave
• 401(k) Retirement Plan and Profit Sharing
• Group Life, Accidental Death & Dismemberment (AD&D), Long-Term Disability (LTD) Insurance