Overview:
The Patient Accounts Representative I, under general supervision, is responsible for follow-up functions and timely resolution of assigned accounts. Patient Accounts Representatives may also be responsible for claim submission depending on their assigned accounts.
Responsibilities:
- Timely resolution and collection of assigned account balances utilizing Patient Accounting software.
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Timely submission/transmission of claims and verification of claim acceptance where appropriate for assigned account balances.
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Completion of daily payment activity reports for assigned account balances.
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Identification and recognition of reoccurring problems or issue for assigned account balances that delay or impact reimbursement.
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Interacts effectively with management/peers/internal parties/and external parties to resolve a diverse range of problems encountered in the life cycle of a claim.
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Performs general accounting transactions via completion of adjustment forms, charge correction forms, and payment transfer forms.
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Updates and maintains denial reports and flags in accordance with departmental requirements.
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Recordation of complete and meaningful account documentation.
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Reviews and processes correspondence requests for assigned account balances.
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After determining that all insurance has been processed and paid appropriately, changes the financial class to patient liability.
Qualifications:
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Completion of a high school level of course work with attainment of a high school diploma or state high school equivalency is required.
- Associate’s degree or higher in Accounting, Finance, Business Administration or related discipline preferred.
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Experience in hospital/physician office, patient accounts or related setting required.
QUALIFICATIONS:
- Must have current CPAT or CCAT certification.