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Paitent Account Representative

Carolina Health Centers, Inc., Greenwood, SC, United States


Patient Account Representative

The Patient Account Representative will be responsible for ensuring that charges are entered correctly, insurance claims are processed in an accurate and timely manner, and that claims are paid accurately. The PAR will accept patient payments and assist patients with any billing questions and will provide support to Patient Services Representatives. Duties and responsibilities include charge entry and review, collect and post payments, collect on delinquent accounts, submit accounts to collection agency, verify insurance coverage, review patient accounts for accuracy, discuss accounts with patients, follow-up correct unpaid claims, including by phone or insurance portal, resolve denied claims, send Good Faith Estimates, and assist front office staff. Reporting relationships include being directly supervised by Revenue Cycle Manager. Workers supervised: N/A. Interrelationships include working in cooperation with staff and effectively serving patients. This job description is not designed to cover or contain an exhaustive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Requirements include performing the duties of their job and behaving in a manner consistent with the Corporate Philosophy which supports the values of respect, honesty, integrity, openness, transparency, diversity, equity, inclusion, stewardship, and innovation. This position requires a high school diploma or equivalent, minimum 2 years medical office experience, able to read, write, and communicate effectively orally and in writing, great interpersonal and organizational skills, proficient in use of computer and keyboard, strong customer service skills, able to establish and maintain effective working relationships, knowledge of HIPAA and ability to maintain confidentiality, ability to multitask, knowledge of medical terminology, and problem solving skills. Physical abilities include sitting for extended periods of time, able to push, pull and reach, sit, stoop and stretch, have the hand-eye coordination and manual dexterity needed to operate a computer, telephone, copier, etc., required to talk and hear, and vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. This position operates in a professional office environment. Noise level is low to moderate. This role routinely uses standard office equipment such as computers, telephones, photocopiers, filing cabinets, and fax machines.