Patient Account Rep
Central Florida Health Care
Title: Patient Account Representative Reports to: Director of Revenue Cycle Management FLSA Status: Non-Exempt
Personnel Supervised: None
MINIMAL QUALIFICATIONS:
Personnel Supervised: None
MINIMAL QUALIFICATIONS:
- Minimum of 1-3 years healthcare experience working in a managed care, revenue cycle or billing office setting
- Knowledge of medical terminology or concepts is a must
- Proficiency in Microsoft Office applications including Word, Power Point, Excel, and Outlook is a must.
- High school graduate or equivalent required.
- Responsible for prompt and accurate submission and follow-up of all third-party claims
- Post insurance payments, adjustments and denials
- Responsible for correctly identifying and updating various types of insurance entry information.
- Submit medical and dental claims for prompt payment
- Review, research and correct all claims on hold or denied due to insurance eligibility or billing errors
- Manage Electronic Remittances, sort mail and upload EOB's
- Sort mail, upload and review EOB's and reconcile patient accounts
- Answer questions related to patient accounts
- Work closely with center leaders, center staff and insurance companies to resolve insurance and claim holds.
- Follow up on patients with balances due to collect payment
- Ensure that accounts are transferred to the appropriate responsible party for reimbursement (insurance, secondary payer or patient)
- Maintains trending of claim denials reasons to assist with training and education to staff
- Submit additional paper work, documentation necessary to re submit claims for payment
- Notify patient of non-sufficient funds
- Assist with reports related to trends and accounts receivable for management
- Federal laws and regulations affecting coding requirements
- Electronic Health Records
- Knowledge of billing practices and billing office functions required, FQHC preferred
- Knowledge of medical records, E H R required
- Must have good math skills and effective communication skills
- Must have good problem-solving skills
- Communicating clearly and concisely, orally and in writing
- Confidentiality
- Ability to use the computer
- Ability to work independently to accomplish assigned work in a timely manner
- Ability to communicate with staff and the public, both in person and over the phone, in a tactful manner and under difficult situations
- Understanding and carrying out verbal and written directions
- Follow CFHC policies and procedures
- Works independently in the absence of supervision
- Works under pressure and stress due to the diversity of our clinics
- Work is performed indoors in a heated, air conditioned, well lighted and clean office setting
- Requires frequent lifting up to 20 pounds, and infrequent lifting up to 50 pounds
- Requires ability to distinguish letters, numbers and symbols
- Requires normal range of vision
- Requires awareness of personal limitations and flexibility
- Some emotional stress resulting from diversity and intensity of patients and staff
- Requires prolonged standing or sitting
- Occasional travel required
Vacancy posted 1 day ago
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