What are the responsibilities and job description for the Workers Compensation Patient Account Representative position at First State Orthopaedics?
First State Orthopaedics is seeking a Workers Compensation Account Representative in our Newark location.
The Representative is responsible for reconciling discrepancies and collecting on delinquent accounts. Presents a positive image to supporting staff members and patients at all times.
Position Requirements: High School Diploma or Associates Degree in related field, previous experience in healthcare collection/billing, excellent communication and computer skills, good working knowledge of medical terminology CPT and ICD-10 coding. Ability to maintain good working relationships with all co-workers, patients and general public. Knowledge of state laws and statutes. Understanding of legal process involving medical claims. Understanding and react to developing trends in healthcare reimbursements.
- Review patient’s past due statements, research and reconcile outstanding items.
- Maintain account receivable reports.
- Precert and obtain referrals for testings, MRI’s, Injections, surgeries & etc.
- Maintain the accounts receivable within company goals.
- Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts..
- Review EOB’s.
- Send letter of protection when PIP is exhausted.
- Maintaining patient confidentiality.
- Organizational responsibilities: promoting patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner.
- Verification of WC/AA claims.
- Review patient’s past due statements, research and reconcile outstanding items.
- Maintain account receivable reports.
- Precert and obtain referrals for testings, MRI’s, Injections, surgeries & etc.
- Maintain the account s receivable within company goals.
- Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts..
- Review EOB’s.
- Submit appeals to insurance carriers
- Send letter of protection when PIP is exhausted.
- Ability to interface with support departments and articulate issues and concerns.
- Interact with a variety of personalities and situations that require tact, judgment, poise and professionalism.
- Maintaining patient confidentiality. Organizational responsibilities: promoting patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner.
- Bilingual would be a huge plus for this position.
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Experience:
- Workers' compensation: 1 year (Required)
Ability to Commute:
- Newark, DE 19702 (Required)
Work Location: In person
Salary : $16 - $18