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Patient Account Representative

Summary

Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection procedures.

Essential Duties and Responsibilities

  • 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.
  • Responsible for accurate and timely charge capture for clinic and hospital based services.
  • 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.
  • Other duties may be assigned.

Education and/or Experience

High school diploma or general education degree (GED).  Minimum 3 years of medical billing and account follow up experience. Certified Patient Account Representative (CPAR) preferred. Spine coding and/or collection experience preferred.

Knowledge of ICD-9, CPT, HCPCS and the use of modifiers preferred. Familiarwith CMS 1500 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans.

Knowledge of physician billing and /or collections. Typing speed 55 wpm and the ability to use a calculator.

 

 

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