Patient Account Representative

Job Description

Assists in monitoring the activities and performance of health system practices (includes hospital and physician revenue) to ensure that billing related functions are performed in an efficient manner consistent with department policies and procedures.

Job Responsibility

• Interfaces with physicians and administrators to ensure financial growth and stability.
• Assists in monitoring accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
• Assists in resolving complex billing situations.
• Gives guidance and direction to billing/clerical staff regarding billing and office/clerical functions.
• Carries out clinical documentation requests to business office to ensure timely appeals.
• Implements policies and procedures to facilitate billing and maximize case collections.
• Implements improvements for financial management of each billing area.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.

Preferred Qualifications

• Knowledge of Medicare and Medicare claim submission guidelines.
• Knowledge of managed care and commercial insurance claim submission guidelines.
• Knowledge of coordination of benefits.
• Ensure patient accounts are thoroughly and accurately reviewed for best resolution.

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).