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Job: Patient Account Representative

This posting has expired and is no longer available.

Job Description

Qualifications and Requirements:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. This job description in no way implies that these are the only duties to be performed and may be modified, interpreted and/or applied in any way as necessary. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

 

Essential Job Duties:

  • Performs all billing tasks necessary to efficiently and accurately collects all payments earned for the services rendered by
  • Makes appropriate and accurate adjustments to patient accounts for payments provided per contractual agreements with insurance companies and as directed by
  • Investigates and gathers appropriate information to ensure the accuracy of patient account balances and demographics.
  • Processes and submits patient
  • Confirms patient insurance eligibility and/or benefits.
  • Posts patient payments.
  • Answers phone calls.
  • Provides customer service to patients inquiring about their patient statements/balances.
  • Sets up and maintains budget plans.
  • Corrects bad addresses in patient accounts.Discusses and educates family members on various services offered and methods of payment for those services including but not limited to Medicare, Medicaid, Insurance and Private Pay.
  • Makes appropriate adjustments to patient accounts in accordance with our policies and procedures.
  • Investigates and resolves credit balances on patient accounts. Initiates refund requests according to our policies and procedures.
  • May perform billing duties as assigned.
  • Communicates with patients, payers and CCHCI staff.
  • Communicates with insurance companies to ensure efficient processing of claims and
  • Communicates with clearing house to ensure all charges are submitted
  • Communicates with patients regarding questions or grievances of their
  • Communicates with Health Center Management to assist in addressing unbilled encounters and un-submitted charges and finds answers to any of their billing related
  • Develops and improves Billing skills.
  • Participates actively in routine staff
  • Participates in training related to documentation, coding and billing compliance and updates to the Practice Management
  • Participates in collaborative meetings/trainings as available and
  • Improves development through internal and external trainings
  • Seeks opportunities for growth and advancement within the

 Required Education, Experience, Certificates & Licenses:

  • High School Diploma or GED.
  • At least six months of experience providing office support. Experience in a medical setting preferred.
  • Any combination of experience and/or education that provides the necessary combination of skills and sensitivity.
  • Automobile and valid driver’s license necessary as position requires occasional travel.

 Required Language Skills:

  • Ability to comprehend and compose effective instructions, correspondence and communications in English in both oral and written
  • Bilingual in English and Spanish preferred, but not

 Physical Requirements:

  • Ability to occasionally exert enough force to move objects weighing up to 10
  • Ability to continuously remain in a stationary
  • Ability to occasionally move about inside the work place to access files, office machinery,
  • Possesses hand-eye coordination and manual dexterity necessary to constantly operate computer, telephone, and other office
  • Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed
  • Ability to discern the nature of sounds at a normal spoken

 Other Required Knowledge, Skills, and Abilities:

  • Ability to add, subtract, multiply and divide in all measure, using whole numbers, common fractions and
  • Ability to compute rate, ratio and
  • Ability to gather data in an organized fashion from varied sources.
  • Ability to perform variety of assignments occasionally requiring independent
  • Ability to deal with challenges involving one or more variables in routine
  • Knowledge of billing, medical records, health plans, and community health centers
  • Knowledge of ICD, CPT, and NDC codes
  • Knowledge of HIPAA and Corporate Compliance rules and
  • Computer literacy required.
  • Knowledge of Microsoft Excel preferred.
  • Knowledge of Electronic Health Records

 Work Environment & Conditions:

  • Work environment is usually typical of an administrative office setting with no substantial exposure to adverse environmental
  • Work requires occasional travel and flexible hours.