Patient Account Representative
3.
9 Newport, TN Newport, TN Full-time Full-time From $16.
25 an hour From $16.
25 an hour 12 days ago 12 days ago 12 days ago PURPOSE The Patient Account Representative is a member of the Financial Services Department who is responsible for the accurate and timely data entry responsibilities in the Billing Department.
Works collaboratively with members of other departments including management to ensure timely and accurate processes.
DESCRIPTION OF DUTIES Process charges and claims accurately and timely to all payers in accordance with payer requirements and/or Rural Medical Services, Inc.
policies.
Responsible for timely follow up on insurance claim status, resolve denials/rejections, submit re-bills, re-submit claims, file appeals and resolve all front end/clearinghouse rejections in a timely manner.
Serve as Patient Services Representative in accordance with written appointment and patient record policies, as needed and scheduled by the Patient Account Manager or CFO.
Accurately and timely processing of all electronic remits (ERA) and manually post paper reimbursements.
Ensure the balancing of payments and adjustments prior to posting each payment batch.
Payments are posted timely.
Query the clinical staff when code assignments are not clear to assure accurate and optimal code assignment for reimbursement.
Alert Patient Account Manager regarding late or missing documentation required for billing.
Responds to inquiries from insurance, patients, co-workers, clinical staff and providers promptly.
Establishes and maintains a positive working relationship with patients, payers, co-workers and visitors.
Maintains confidentiality of patient information and organization information at all times in compliance with HIPAA regulations.
Works independently and as a member of a team with commitment to excellence while meeting deadlines under pressure while still delivering superior results.
Alert the Patient Account Manager of any changes that impact the billing and Billing Department.
Exercise excellent analytical skills and accurate attention to detail.
Follow up on balances due from insurance companies and patients monthly.
May be required to perform special financial and patient data studies as required by CFO or Patient Accounts Manager.
Assist the Patient Accounts Manager with the training of Medical Receptionist Staff.
Perform all clerical tasks as specified in clinic or office policies and/or as directed by the supervisor.
Perform related tasks as directed by the Nurse Practitioner or Physician when at the Centers and Patient Account Manager.
Keep medical records in accordance with the written medical records policy.
Perform other duties as assigned.
EDUCATION REQUIRED Must be a high school graduate or possess high school equivalency.
LICENSES/CERTIFICATIONS REQUIRED CPC highly desirable.
EXPERIENCE AND/OR SKILLS REQUIRED One year of experience in a medical office working with insurance claims processing is preferred.
Must be able to comprehend established office routine and regulations, learn quickly from written or oral instructions, have ability to keep simple financial records and perform mathematical tasks.
Have versatility, flexibility and a willingness to work within constantly changing priorities with enthusiasm.
Have excellent organizational skills.
OTHER Must work with the knowledge that information he/she may come into contact with is confidential and must not be repeated outside of clinic setting.
Job Type:
Full-time Pay:
From $16.
25 per hour
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Work setting:
Community health center Office Education:
High school or equivalent (Required)
Experience:
FQHC billling:
1 year (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
9 Newport, TN Newport, TN Full-time Full-time From $16.
25 an hour From $16.
25 an hour 12 days ago 12 days ago 12 days ago PURPOSE The Patient Account Representative is a member of the Financial Services Department who is responsible for the accurate and timely data entry responsibilities in the Billing Department.
Works collaboratively with members of other departments including management to ensure timely and accurate processes.
DESCRIPTION OF DUTIES Process charges and claims accurately and timely to all payers in accordance with payer requirements and/or Rural Medical Services, Inc.
policies.
Responsible for timely follow up on insurance claim status, resolve denials/rejections, submit re-bills, re-submit claims, file appeals and resolve all front end/clearinghouse rejections in a timely manner.
Serve as Patient Services Representative in accordance with written appointment and patient record policies, as needed and scheduled by the Patient Account Manager or CFO.
Accurately and timely processing of all electronic remits (ERA) and manually post paper reimbursements.
Ensure the balancing of payments and adjustments prior to posting each payment batch.
Payments are posted timely.
Query the clinical staff when code assignments are not clear to assure accurate and optimal code assignment for reimbursement.
Alert Patient Account Manager regarding late or missing documentation required for billing.
Responds to inquiries from insurance, patients, co-workers, clinical staff and providers promptly.
Establishes and maintains a positive working relationship with patients, payers, co-workers and visitors.
Maintains confidentiality of patient information and organization information at all times in compliance with HIPAA regulations.
Works independently and as a member of a team with commitment to excellence while meeting deadlines under pressure while still delivering superior results.
Alert the Patient Account Manager of any changes that impact the billing and Billing Department.
Exercise excellent analytical skills and accurate attention to detail.
Follow up on balances due from insurance companies and patients monthly.
May be required to perform special financial and patient data studies as required by CFO or Patient Accounts Manager.
Assist the Patient Accounts Manager with the training of Medical Receptionist Staff.
Perform all clerical tasks as specified in clinic or office policies and/or as directed by the supervisor.
Perform related tasks as directed by the Nurse Practitioner or Physician when at the Centers and Patient Account Manager.
Keep medical records in accordance with the written medical records policy.
Perform other duties as assigned.
EDUCATION REQUIRED Must be a high school graduate or possess high school equivalency.
LICENSES/CERTIFICATIONS REQUIRED CPC highly desirable.
EXPERIENCE AND/OR SKILLS REQUIRED One year of experience in a medical office working with insurance claims processing is preferred.
Must be able to comprehend established office routine and regulations, learn quickly from written or oral instructions, have ability to keep simple financial records and perform mathematical tasks.
Have versatility, flexibility and a willingness to work within constantly changing priorities with enthusiasm.
Have excellent organizational skills.
OTHER Must work with the knowledge that information he/she may come into contact with is confidential and must not be repeated outside of clinic setting.
Job Type:
Full-time Pay:
From $16.
25 per hour
Benefits:
401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Work setting:
Community health center Office Education:
High school or equivalent (Required)
Experience:
FQHC billling:
1 year (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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