Patient Accounts Representative

Job Requirements

Minimum Education

• High school graduate or equivalent.

Minimum Work Experience

• Must possess excellent keyboarding and PC software skills in a Microsoft Office environment
• Preferably has experience in healthcare field.

Required Skills

• Must be quality conscious, detailed oriented, posses excellent communication skills, be dependable and organized.
• Flexible in performing multiple tasks, and skills in interpersonal relationships.

Functional Demands

Physical Requirements

Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).

Organizational Expectations

Behavioral Attributes

The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking.

Essential Functions

• Reviews reports from Information Services and makes corrections as needed.
• Mails and/or downloads claims to appropriate payers for adjudication.
• Receives and sends information within hospital departments to obtain and convey vital information required to process accounts.
• Analyzes incoming correspondences to determine appropriate action needed to resolve issues involved.
• Prepares listings for input into the BAR Module, such as adjustments and account numbers.
• Determines appropriate action on adjudicated claims.
• Works trial balances according to policy and procedures outlined in the Patient Accounts Manual.
• Resolves reminder routines as outlined in the Patient Accounts Manual.
• Processes hospital wide outgoing mail so that the mail is sent out by the carrier on time and so the mail is not returned because of incorrect or lack of postage.
• Attends all training and education seminars offered from third party payers as directed by supervisor.
• Keeps supervisor aware of any backlog or problems.
• Ensures accurate submissions of both electronic and paper claims.
• Performs routine and specialized billing functions for third party payers.
• Reports to supervisor, patterns of denials and / or problems on Patient Accounts.
• Coordinates and completes special projects as assigned by supervisor.
• Prepares accurate statistical reports when directed by supervisor.
• Assists manager, as directed, in the training of new employees regarding patient account processes in an accurate and complete manner.

Statement of Other Duties

This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.