Patient Accounts Representative

Generates revenue by posting, collecting and adjusting accounts. Responsible for following up with insurance companies and patients for payments.

Duties

• Prepares and submits clean claims to insurance companies either electronically or by paper within two business days of the date of service.
• Reviews and corrects any claims on the reject list. · Contacts W/C Carriers and Adjusters for claim updates and status
• Uploads supporting documentation to Clearinghouse
• Identifies and resolves patient billing complaints.
• Calculates insurance adjustments and posts accordingly.
• Reviews and updates all accounts over 45 days old daily.
• Appeals incorrectly paid or denied claims either by phone or by letter.
• Enters accurate and detailed notes on accounts.
• Provides A/R Team Lead with weekly, bi-weekly and monthly updates
• Conducts self in accordance with TOA’s employee handbook.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Ability to be crossed trained in several areas in the billing department
• Other duties as assigned

Work Experience Requirements

• 2+ Years billing Follow-Up Experience.
• Knowledge of Microsoft Office and Outlook.
• Knowledge of basic medical coding.
• Understanding of medical insurance contracts and reimbursements.
• Basic typing and 10-key skills.
• Ability to establish and maintain effective working relationships with patients, employees and the public.

Education Requirement

• High School Diploma or GED

Job Type: Full-time

Benefits:

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

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Hybrid work

Experience:

• Medical billing: 2 years (Required)

Ability to Relocate:

• Hampton, VA 23666: Relocate before starting work (Required)

Work Location: In person