Patient Account Representative - PCA

Job Description

Job Description

Patient Account Representative, OPA/Anchorage, FT

Orthopedic Physicians Alaska seeks a highly skilled, dedicated, and professional Patient Account Representative to join our rapidly growing and dynamic team. We provide work life balance, competitive salaries, and comprehensive medical, dental, FSA, life, and disability insurance, as well as profit sharing, 401k, and paid time off starting at three (3) weeks per year.

Learn more about Orthopedic Physicians Alaska at

A $500 SIGNING BONUS will be awarded upon completion of 90 days of employment in this position.

Ideal attributes
? Works as a team player and is committed to compassionate patient care
? Strong communication and interpersonal skills and an investigative nature
? Self-starter who embraces professionalism and learning
? Efficient, accurate and detail oriented

Representative duties
? Provide outstanding customer service to all patients
? Answer patient calls regarding account questions, concerns or complaint
? Answer insurance and billing questions for patients and the staff
? Advise and explain insurance coverage, co-pays, and deductibles to patients
? Work with patients and insurance companies to resolve balances
? Review and appeal insurance denials
? Review and submit corrected claims
? Review and process both patient and insurance company overpayments
? Initiate collection actions when necessary

Knowledge and skill requirements
? Knowledge of CPT and ICD-9/10 coding
? Knowledge and understanding of billing procedures
? Knowledge and understanding of HIPAA rules and regulations
? Able to understand and explain EOBs
? Knowledge of primary and secondary coordination of benefits
? Able to work in an integrated team that includes posting, collections and pre-certification