Patient Account Rep - Insurance

Job description

Position Summary
Patient Account Representative for medical physician practice billing focusing on insurance payers. Primary responsibilities include billing and insurance follow-up utilizing computer applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Documentation on all collection activity is required in computer applications and must maintain production and quality goals.
Qualifications
• 1 year billing preferred, 2-3 years optimal with understanding of insurance, payment posting, and/or denials management
• CPC/RHIT certification-preferred
• Medical office billing experience, PC skills, excellent customer service skills, analytical abilities, excellent attendance
• Strong oral and written communication skills
• Self-directed and capable of working without direct supervision
• Ability to work collaboratively with others
• Dependable in production, quality and attendance

Department Qualifications
Skills
• Office Applications
• Problem-Solving
• Time Management
• Teamwork
• Microsoft Office (Word, Excel, Teams)
• Punctuality
• Conflict Resolution
• Organization
• Communicate effectively
• Detail oriented

Department Skills
Responsibilities & Expectations
• Manage outstanding accounts receivable for clients and/or assigned payers.
• Contact payers via phone calls or websites for claims information and to assist in account resolution.
• Research and resolution of insurance denials for electronic and paper claims.
• Research, prepare and send appeals for payment to payers. Work collaboratively with revenue integrity to create appeals.
• Help identify denial trends to prevent loss revenue. Work with payment posters if there are issues with posting codes.
• Apply Credits to appropriate accounts
• Discuss billing questions/issues with patients in collaboration with customer service team members.
• Track payer issues for payer relations team to research
• Work special projects as needed
• Follow all Policies and Procedures

Department Responsibilities & Expectations
Working Conditions
• Work eight hours a day. Working M-F or hours as required by the job.
• Hybrid/WFH schedule available
• Lunch periods and breaks are coordinated with other staff members to maintain adequate coverage
• Cross training in all areas in the department is required.
• Subject to frequent interruptions and changes in priority of duties throughout the day.
• Ability to work in a cubical setting for long periods of time.

Hazardous Exposure Category
Physical Addendum
Demands
Frequency
Remarks
Lifting 0-10 lbs
Never
Lifting 10-20 lbs
Never
Lifting 20-35 lbs
Never
Lifting 35-50 lbs
Never
Lifting 50-75 lbs
Never
Lifting 75-100 lbs
Never
Lifting over 100 lbs
Never
Forward Reaching
Continuous 66% of the day
Computer work
Overhead Reaching
Occasional 10-33%
Standing
Occasional 10-33%
Walking
Occasional 10-33%
Sitting
Continuous 66% of the day
Climbing
Never
Stairs/Ladder
Never
Bending/Stooping
Never
Twisting/Turning
Kneeling/Squatting
Crawling
Pushing/Pulling 0-10 lbs
Never
Pushing/Pulling 10-20 lbs
Never
Pushing/Pulling 20-35 lbs
Never
Pushing/Pulling 35-50 lbs
Never
Pushing/Pulling 50-100 lbs
Never
Pushing/Pulling over 100 lbs
Never
Carrying 0-10 lbs
Carrying 10-20 lbs
Carrying 20-35 lbs
Carrying 35-50 lbs
Carrying 50-100 lbs
Carrying over 100 lbs
Grasping/repetitive sustained
Never
Fine motor coordination
Continuous 66% of the day
Vision: Near/Far/Color
Continuous 66% of the day
Hearing: ordinary conversation/other
Continuous 66% of the day