** Patient Account Representative - Customer Service - 1.0 FTE - Day Shift**

**Job Category****:** Office/Clerical **Requisition Number****:** PATIE001790 Showing 1 location **Job Details**

**Description**

* Answers incoming phone calls from patients.

* Answers questions regarding billing and insurance.

* Establishes payment arrangements while adhering to OMC guidelines.

* Updates demographic information.

* Updates insurance records and files claims as necessary.

* Itemizes patient accounts upon request.

* Documents conversations and events at the account level.

* Documents and forwards billing issues to Coding Team for review. Follows-up as needed.

* Documents patient care inputs to Patient Relations department for review. Follows-up as needed.

* From insurance companies

* Answers questions regarding CPT and ICD10 coding.

* Sends out claim forms as necessary.

* Sends additional documentation for claims as necessary from other internal and external customers.

* Collections

* Monitors Aged Trial Balance through use of Credit and Collections Module.

* Reviews accounts for increase in payments.

* Routes delinquent accounts to 1st Party TAG

* Routes accounts to Collection placement as necessary.

* Working knowledge of collections procedures and FDCPA laws.

* Reviews account credit balances for errors and overpayments. Issues refunds.

* Assists in development and implementation of procedures.

* Attends education and training seminars.

* Sends patient portal invites and new user name requests as patients request.

* Answers patient calls regarding patient portal.

* Other duties as assigned.

**Qualifications:**

* Minimum of an Associates Degree in a Business-related field or equivalent experience required

* Excellent computer skills required

* Medical background preferred

* Medical terminology experience preferred

* Strong understanding of business and accounting concepts

**Qualifications**

**Skills**

**Behaviors**

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**Education**

**Experience**

**Licenses & Certifications**

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractors legal duty to furnish information. 41 CFR 60-1.35(c)