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Patient Account Representative - Outpatient

Patient Account Representative - Outpatient

Job Description

POSITION TITLE:                            Patient Account Representative I

DEPARTMENT:                                Central Billing Office

EMPLOYEE REPORTS TO:           Collections Supervisor

 

SUPERVISES:                                  N/A

FLSA STATUS:                                 Non-Exempt

EMPLOYMENT STATUS:                Full-time

 

  

This job description is a record of the essential functions of the listed job.  The job description provides the employee, Administration, Human Resources, applicants, and other agencies with a clear understanding of the job, where it fits into the organization, and the skill and work requirements in relation to other jobs.  Jobs are always changing to some degree and the existence of the approved job description is not intended to limit normal change and growth.  The facility will make reasonable accommodations to otherwise qualified individuals who are capable of performing the essential functions of the job with or without reasonable accommodation.

 

 

Follow up on open accounts receivable – both initial and balances at least 60 days old – with the intentions of collecting balances due.  Seek to obtain any additional information to determine responsibility of payment and assure best possible opportunity for claims to be processed.

 

 

POSITION FUNCTIONS

  • Investigate and follow-up on all open account balances overdue for 45 days or more to determine reason for non-payment.  Contact responsible party to establish reason for delinquency, document in system all verbal and written communication relative to overdue account, and institute timely follow-up with responsible party as a result of last contact to assure progress in resolving account with payment.
  • Review accounts with initial evaluations as early as 21 days old in order to confirm that clean claims are reaching the correct payor.
  • Make outgoing calls to patients, insurance companies and attorneys regarding claim status in order to reduce both outstanding receivables and DSO.
  • Manage correspondence related to designated work load.
  • Address incoming center/field inquiries as necessary and in accordance with departmental guidelines.
  • Identify and resolve issues impacting the timely collection of open receivables.
  • Provide timely notification to the appropriate managerial staff of any identified payor issues.
  • Counsel patients on financial options and establish payment plan or begin dunning letter process and follow-up as needed.
  • As necessary, request account adjustments as identified via write off requests and refund requests.
  • Recommend accounts to an outside agency based upon company guidelines.
  • Notify database operations of changes or additions to specific payor, plan, contract, address, or other pertinent information as necessary.
  • Meet the expectations and goals for productivity and cash targets as set forth by management
  • Performs other duties or special projects as assigned.

 


Job Requirements

 

  • Good interpersonal, oral and written communication skills.
  • Excellent problem solving skills.
  • Good organizational skills.
  • Ability to work independently with minimal instruction or supervision
  • Knowledge of indemnity insurance practices, contracts and managed care ideal.
  • Required to be proficient in Windows based office technologies (ex. Word, Excel, PowerPoint).
  • High School diploma or GED required.
  • One to two years of computer, accounting, collections, and high volume medical billing and/or insurance claims processing experience required.

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education High School
Experience At least 1 year(s)
Manages Others No
Industry Healthcare - Health Services
Required Travel Not Specified
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Patient Account Representative - Outpatient


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