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Patient Account Coordinator

Summary
Responsible for accurate and timely charge for Peachtree Orthopedics services for all patients and insurance billings.

Essential Duties and Responsibilities

  • Receive Point of Service payment from patients checking out.
  • Responsible for accurate and timely charge capture for clinic based services.
  • Ensures that Work Status Forms are faxed to insurer, employer, and other interested parties within 48 hours of patient's appointment.
  • Contacts patients regarding outstanding balances.
  • Establishes payment plans to help patients manage payment of bills.
  • Timely and appropriate resolution of all assigned accounts for third party payors and/or patients with the purpose of managing account receivables balances.
  • Identify and communicate AR trends, denial issues or irregularity impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution.
  • Sends delinquent accounts to collection agencies.
  • Processes insurance payments to patient accounts in computerized system.
  • Creates and mails insurance claims and patient statements.
  • Re-bills insurance companies or other third parties to secure payment for patients.
  • Verifies all entries made by cashiers and makes corrections if necessary.
  • Trains appropriate personnel on computerized billing system.
  • Responds to patient billing and statement inquiries. Maintains up-to-date knowledge of third party billing and reimbursement, clinic’s financial policies and industry knowledge.
  • Prepares and submits daily productive reports as required.
  • Completes annual compliance and regulatory requirements as applicable.
  • Makes recommendations to management for write-offs. Other duties may be assigned.

Qualifications

Education and/or Experience

  • High school diploma or general education degree (GED).
  • Minimum five years of medical billing and account follow up experience. Knowledge of ICD-9, CPT, HCPCS and the use of modifiers preferred.
  • Familiar with CMS 1500 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans preferred.
  • Knowledge of physician billing and/or collections preferred.
  • Typing speed 55 wpm and the ability to use a calculator.

Certificates, Licenses, Registrations
Certified Patient Account Representative (CPAR) preferred.

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