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Patient Accounts Representative
Summary
Title:Patient Accounts Representative
ID:1118
Department:840- Billing
Location:Texarkana, TX
Description
POSITION TITLE: Patient Accounts Representative
REPORTS TO: Patient Account Manager
STATUS: Non-exempt

Summary

The Patient Accounts Representative is responsible for providing support to the Patient Accounts Manager.
The job's goal is to maximize cash inflows through billing and collecting for the services the company provides, while maintaining compliance with all applicable laws and regulations.

DUTIES AND RESPONSIBILITIES:

  • Initial verification of financial responsibility to accurately bill the correct party.
  • Accumulating additional information as necessary to substantiate the medical necessity of the transport.
  • Data entry into the computer system.
  • Printing, auditing, and disbursement of paper and electronic bills and claims.
  • Follow up calls and letters to insurers, individuals, and third party payers to ensure timely remittance of their obligations.
  • Coordinating payment plans with patients and their representatives for the non-covered, or self-insured portion of their charges.
  • Appealing denied claims with additional documentation of medical necessity.
  • Documentation of process into the patient account computer record.
  • Maintenance of the patient medical and billing records.
  • Maintenance of files relating to correspondence.
  • Accurate posting of cash received to the correct patient account.
  • Making adjusting entries to patient's accounts to conform with required Medicare and Medicaid regulations.
  • Submitting claims to secondary insurers for coinsurance.
  • Assistance with incoming calls, subscription program, and the general operations of the business office.
  • Other duties as deemed necessary

MINIMUM QUALIFICATIONS:

Education and Experience:
  • High School Education required
  • One year Medical Billing experience preferred
  • ICD-9 Coding experience helpful
  • Experience with Medicare part B, Medicaid, Commercial insurance, and Fair Debt Collection Law helpful
Skills and Proficiencies:
  • Effective knowledge of EMS desired
  • Accurate typing at least 30 wpm.
  • Proficient in oral and written communications, especially telephone. Proficient in the use of computers
Certifications:
  • None required

PHYSICAL REQUIREMENTS

  • Occasionally:  Walking outside, lifting, pushing, pulling, reaching, balancing, carrying, kneeling, stooping, bending, leaning, sitting, flexibility, driving car
  • Frequently:  Touching, typing, climbing, multiple physical activities performed at the same time
  • Constantly:  Hearing/listening, clear speech, walking inside, seeing

WORKING CONDITIONS:

  • Constantly:  Works alone, with others, around others, face-to-face and verbal contact with others, extended day, inside

MENTAL REQUIREMENTS:

  • Constantly: Simple reading and writing, complex reading and writing, clerical, memorization, analyzing, perception/computation, problem solving, simple math skills, judgment, reasoning, decision making

EQUIPMENT USED:

  • Constantly:  Telephone recording equipment, facsimile, computer/typewriter, keyboard, telephone, copy machine, stapler, 3 hole punch, stamping, sharpener
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