Patient Account Rep
Central Florida Health Care, Inc., Winter Haven, FL, United States
Overview
Title:
Patient Account Representative
Reports to:
Director of Revenue Cycle Management
FLSA Status:
Non-Exempt
Personnel Supervised:
None
Minimum 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, PowerPoint, Excel, and Outlook is a must.
High school graduate or equivalent required.
Responsibilities and Performance Expectations
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 EOBs
Sort mail, upload and review EOBs 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 paperwork, 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, EHR 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
Physical Requirements
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
ADA Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
#J-18808-Ljbffr
Title:
Patient Account Representative
Reports to:
Director of Revenue Cycle Management
FLSA Status:
Non-Exempt
Personnel Supervised:
None
Minimum 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, PowerPoint, Excel, and Outlook is a must.
High school graduate or equivalent required.
Responsibilities and Performance Expectations
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 EOBs
Sort mail, upload and review EOBs 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 paperwork, 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, EHR 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
Physical Requirements
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
ADA Statement: External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.
#J-18808-Ljbffr