Paitent Account Representative

Description

GENERAL DESCRIPTION:

The Patient Account Representative will be responsible for ensuring that charges are entered correctly, insurance claims are processed in an accurate and timely manner, and that claims are paid accurately. The PAR will accept patient payments and assist patients with any billing questions and will provide support to Patient Services Representatives. 

DUTIES AND RESPONSIBILITIES:

• Charge entry and review
• Collect and post payments
• Collect on delinquent accounts
• Submit accounts to collection agency
• Verify insurance coverage
• Review patient accounts for accuracy
• Discuss accounts with patients
• Follow-up correct unpaid claims, including by phone or insurance portal
• Resolve denied claims
• Send Good Faith Estimates
• Assist front office staff

 REPORTING RELATIONSHIPS:

Responsible to:

• Directly supervised by Revenue Cycle Manager

Workers supervised:

• N/A

Interrelationships:

• Works in cooperation with staff and effectively serves patients

This job description is not designed to cover or contain an exhaustive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

REQUIREMENTS: All employees of Carolina Health Centers, Inc. are expected to perform the duties of their job and behave in a manner consistent with the Corporate Philosophy which supports the values of: respect, honesty, integrity, openness, transparency, diversity, equity, inclusion, stewardship, and innovation.

In addition, this position requires:

• Education:

- High school diploma or equivalent

• Work Experience:

- Minimum 2 years medical office experience

• Licensure and Certification:

- None required

• Skills:

- Able to read, write, and communicate effectively orally and in writing

- Great interpersonal and organizational skills

- Proficient in use of computer and keyboard

- Strong customer service skills

- Able to establish and maintain effective working relationships

- Knowledge of HIPAA and ability to maintain confidentiality

- Ability to multitask

- Knowledge of medical terminology

- Problem solving skills

• Physical Abilities:

- Sit for extended periods of time

- Able to push, pull and reach, sit, stoop and stretch

- Have the hand-eye coordination and manual dexterity needed to operate a computer, telephone, copier, etc.

- Required to talk and hear

- Vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus

• Work Environment:
• This position operates in a professional office environment. Noise level is low to moderate. This role routinely uses standard Office equipment such as computers, telephones, photocopiers, filing cabinets, and fax machines.