Patient Account Representative Iii-Ob/Gyn

Department: OB/GYN

Duties will include: reviewing accounts to determine appropriate insurance follow up; performing charge entry; posting payments and rejections; selecting the correct diagnosis and procedure codes based on documentation and payer specificity requirements; keeping management informed of billing issues; and other duties as assigned.

RequirementsQualified applicants will possess: H.S. diploma or equivalent (GED); 3-5 years experience in a medical billing office; general understanding of complex accounting principles; PC proficiency; accurate data entry skills; and knowledge of GE/IDX, payers in specialty, FSC's, and pay codes used in GE/IDX system.

ESSENTIAL FUNCTIONS

• Enters charges accurately and timely, ensures charges are balanced and reconciled within
  department guidelines.
• Serves as lead worker and trainer for junior level staff.
• Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
• Manually posts payments, contractual adjustments and rejections from EOB’s.
  
• Reconciles deposits against bank statements and major vendors, Balance GE/IDX daily.
  
• Reviews and resolve credit balance if refunds or contractual adjustments are needed, or charge
  correction performed.
  
• Performs AR follow up on rejected claims.