Patient Account Representative

Patient Account Representative needed to perform customer service focused duties, payment posting, accounts receivable, and payment collection.

The successful candidate must possess the following knowledge, skills and abilities:
· Knowledge of Medical Billing/Collection Practices
· Knowledge of basic Medical Coding and modifier use
· Basic computer knowledge and typing skills
· Excellent problem-solving skills
· Ability to concentrate for extended periods of time
· Acute attention to detail
· The ability to function independently and as a member of a team
· Outstanding customer service and maintenance of relationships between CBO/Practices and CBO/Patients
· Ability to maintain confidentiality of patient information
Job Responsibilities:
· Charge posting including identification of medical necessity and proper use of modifiers
· Editing and processing of insurance claims per payer requirements and with utmost concern for compliance with regulatory requirements
· Daily reconciliation of claim submission and error report resolution
· Payment posting from third party payers, government programs and managed care organizations
· Posting of patient liability payments
· Monitoring and maintaining pending insurance payments and re-filing claims when needed
· Appeal of inappropriately denied claims
· Correction and re-submission of incorrect claims
· Account inquiries, data entry and other office related activities
· Identification of incorrect payments and overpayments from patients and/or third party payers
· Preparing bank deposits and monitoring daily checks and EFTs
· Daily balancing of account transactions
· Identification of improper payments according to contracts
· Participation in educational activities and monthly staff meetings
· Maintain strict confidentiality in accordance to HIPAA regulations

Job Requirements: High School Graduate or GED Required. 1-3 years experience in health care reimbursement.

Job Type: Full-time

Pay: $21.42 - $32.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

People with a criminal record are encouraged to apply

Education:

• High school or equivalent (Required)

Experience:

• ICD-10: 1 year (Preferred)

Work Location: In person