What are the responsibilities and job description for the Patient Account Representative Professional position at Oaklawn Hospital?
Patient Account Representative Professional
Job Summary: The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and "status" of claims to ensure timely and appropriate processing and payment.
Essential Functions:
Minimum Qualifications : 18 years of age . Six (6) months previous insurance billing experience.
Knowledge, Skills & Abilities : Knowledge of third-party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Knowledge of ICD-10, CPT Coding and previous experience in a health care setting preferred. Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change.
Working Conditions: Work is generally performed within an office environment, with standard office equipment available.
Physical Requirements : Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.
Job Summary: The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and "status" of claims to ensure timely and appropriate processing and payment.
Essential Functions:
- Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
- Processes billing daily, reviewing bills for correctness and completeness prior to submission.
- Maintains a clear, concise, and complete history on each account according to established procedure.
- Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
- Understands and performs follow-up processes for accounts on a daily basis and works accounts according to established procedure.
Minimum Qualifications : 18 years of age . Six (6) months previous insurance billing experience.
Knowledge, Skills & Abilities : Knowledge of third-party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Knowledge of ICD-10, CPT Coding and previous experience in a health care setting preferred. Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change.
Working Conditions: Work is generally performed within an office environment, with standard office equipment available.
Physical Requirements : Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.