Position Summary :

Provide administrative coverage for the patient service functions related to the check-out operations of the physician practice.

Collect and process encounter form data. Collect and total outstanding balances and payments for services rendered. Balance work and computer at end of day.

The Patient Account Rep II is responsible to provide timely and accurate follow-up of claim issues, working of accounts receivable and responding to inquiries from insurance carriers, patients, office managers and other staff.

This is contingent upon which functional area within the Business Office the position is assigned. The Patient Account Rep II serves as a resource to Patient Account Rep's by providing training and assistance with more complex issues.

Responsibilities

• Maintains established departmental policies and procedures, objectives, quality assurance program and safety standards.
• May answer telephone calls and route accordingly.
• Receives and records changes in patient information.
• Demonstrates familiarity with insurance procedures; demonstrates knowledge of which plan the provider(s) participate.
• Insures procedures and corresponding diagnosis are properly recorded on the fee slip for charge entry.
• Responsible for scheduling appointments for return visits and end of day procedures and balancing.
• Compiles data for the billing personnel.
• Develops the A-I-D-E-T fundamentals of communication.
• Attends meetings as required and participates on committees as directed.
• Collaborates with the patient, physician and other care team members as part of a team based approach to overall patient care.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Perform other duties as assigned.

Qualifications

Minimum Education :

None specified; will accept any combination of formal education and / or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED.

Preference may be given to individuals possessing a HS diploma or GED.

Minimum Experience :

One (1) year experience in medical office setting with working knowledge of clinic appointment scheduling, collection, and experience in ICD-9 / 10 and CPT-4 coding (charge entry) required OR minimum three (3) years of total customer facing / customer service experience required.

Preference given to candidates with physician office experience. Expected to perform adequately within the position after working at least 90 days on the job.

Licensure Requirement :

None

For information on Mountain View Familiy Medicine :

Last updated : 2024-04-19