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Patient Account Rep.

South Bend, IN | Other
Expired

Job Description

Job Description

 

POSITION: Patient Account Representative

 

DEPARTMENT: Business Office

 

REPORTS TO: Patient Accounts Supervisor

 

REVIEWED BY: Director, Business Office and Human Resources

 

STATUS: Non-Exempt

 

REVIEW CATEGORY: Business Office

 

REVISED: 3/1/20

 

INITIATED: 11/5/08

 

 

POSITION SUMMARY: Position is responsible for responding to incoming phone inquiries, assisting patients and/or payers with billing questions, and expediting prompt and accurate reimbursement of Clinic accounts.

 

POSITIONS SUPERVISED: None.

 

ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES:

  • Is available and answers a high volume of incoming phone calls within the Patient Accounts department adhering to all HIPAA guidelines.
  • Provides customers with precise account information, updating demographic information, prorating accounts when necessary, making necessary corrections to the customers account and responding to customer concerns in a courteous and timely manner, documenting fully and accurately on the account or encounters appropriately.
  • Had a full understanding of multiple payers, payer issues, contractual obligations, and patient responsibilities.
  • Brings encounters to resolution by acting as a liaison between patient, payer and at time physicians, when needed, to provide the customer and/or payer with clear and accurate billing information to expedite payment in full in a timely manner.
  • Works assigned listing of aged small balance accounts in a timely manner, resolving any billing issues that delay reimbursement, follows-up timely, and refers severely aged accounts to others in the collection department appropriately.
  • Uses tact and sensitivity in communicating effectively and respectfully with physicians, patients, families, and coworkers.
  • Has a thorough understanding of accounts, encounters, budgets, and invoices and is able to recognize coding issues, posting errors, and is able to appeal or re-file claims as necessary.
  • Fully understands and is able to perform accurate account corrections.
  • Performs all other duties as assigned.
  • Exhibits computer systems knowledge and proficiency as necessary to perform job functions.
  • Takes initiative to seek out tasks and duties or to assist others as necessary.
  • Performs other duties as assigned when appropriate.
  • POSITION REQUIREMENTS:

    Education/Certification/License: High school diploma or equivalent is required.

     

    Knowledge, Skills, and Abilities:Prior experience in customer service is required. Prior experience in a health care setting is preferred. Previous phone experience and excellent customer service skills required. Computer skills and accurate typing required.

     

    Special Demands/Requirements:None.

     

    ADA JOB REQUIREMENTS:

    Physical Demands:

    Climbing/Balancing/Stooping/Crouching/Reaching/Walking/Pulling/Lifting/Fingering/Grasping/Talking/Hearing/Repetitive Motions

     

    Physical Requirements:

    Sedentary Work - Exerting up to 10lbs of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time. Jobs are sedentary if walking is required only occasionally and all other sedentary criteria are met.

     

    Visual Acuity:

    Biomedical/Equipment Operators, Inspection, Testing, Analysis, Close Assembly, Clerical, Administrative

     

    Environmental Conditions:

    None. The worker is not substantially exposed to adverse environmental conditions such as typical office administrative work.