Patient Account Rep - Credit & Collection FT Days

Core Competencies

• Reviews patient account documentation received from Admitting; identifies any missing information, corrects and follows-up with appropriate departments
• Identifies and resolves problem issues independently
• Reviews patient accounts and follow-up documents to determine the nature and extent of delinquency problems, and any actions taken by patients or third party payers; investigates delinquency cases to identify any special circumstances affecting payment delays
• Receives and answers inquiries from patients and insurance companies regarding charges and/or billing discrepancies
• Reviews status of accounts receivable queues.
• Promotes positive customer relations.
• Utilizes hospital computer system to update, adjust, and process accurate patient accounts.
• Reviews status of work queues and prioritizes job functions to ensure timely follow-up on patient accounts.
• Verifies insurance eligibility and authorization as needed.
• Reviews patient account with credit balances. Makes corrections, if needed and or submits refund request when appropriate
• Stays informed of updated insurance requirements and reimbursement practices
• Assists with training of new staff members

Department Specific Competencies

• Coordinates work activities of Medi-Cal eligibility worker.
• Provides estimate of cost for hospital services.

Experience

1

Biller/collection experience in medical office or hospital.