Patient Account Rep

Essential Duties and Responsibilities:

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

• May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. 

• Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. 

• Accurately and thoroughly document 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. 

• Proactively identify issues or trending and provide suggestions for resolution. 

• Provide assistance, coaching and training to staff members, including new hires. 

• Provide enhanced training and assist staff with techniques to increase production, quality and collections.  Participate in the new hire peer interviewing process. 

• Assist in special projects assigned by management.

• Participate and attend meetings, training seminars and in-services to develop job knowledge.  Attend various conference calls, webinars or advanced training to provide assistance to the team members. 

• Respond timely to emails and telephone messages from the staff, management and the client. 

• Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.