Patient Account Representative

The Patient Account Representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them. They will follow-up with payers to ensure timely resolution of all outstanding claims, review and update patient and financial information, and bill hospital services to primary insurers or patients correctly and within expected timeframes.

Requirements

• High School Diploma or equivalent required
• Medical Billing and Coding certification preferred, but not required
• Experience in Hospital/Facility billing required
• 2-3 years’ experience in insurance collections, including submitting and following up on claims
• Basic knowledge of healthcare claims processing including: ICD-9/10, CPT and HCPC codes, as well as UB-04
• Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts
• Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies
• Understanding of government, Medicare and Medicaid claims
• Proficiency with Microsoft Office including Excel and Word
• Ability to work well individually and in a team environment
• Strong organizational, communication and written skills
• Basic math and typing skills