Patient Account Representative

Essential Functions:

• Responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites.  

• Identify issues or trending and provide suggestions for resolution.  

• Accurately and thoroughly documents the pertinent collection activity performed.  

• Review the account information and necessary system applications to determine the next appropriate work activity.  

• Verify claims adjudication utilizing appropriate resources and applications.  Initiate telephone or letter contact to patients to obtain additional information as needed.  

• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.  

• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.  

• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.

• Participate and attend meetings, training seminars and in-services to develop job knowledge. Participate in the monthly, quarterly and annual performance evaluation process with their Supervisor.  

• Respond timely to emails and telephone messages as appropriate. 

• Communicate issues to management, including payer, system or escalated account issues.