Patient Account Representative in Melville, NY at Engage Partners, Inc.

Date Posted: 11/7/2020

Job Snapshot

  • Employee Type:
  • Location:
    Melville, NY
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

Under the supervision of the Manager, the Patient Representative is responsible for accurate and timely billing, performing follow-up on outstanding accounts, cash posting, reconciliation and customer service related activities
  • Accurate and timely insurance and patient payment posting
  • Process and posting of credit card payments
  • Payment batch reconciliation
  • Verifies accuracy of patient insurance and demographic information
  • Investigates duplicate payments and takes appropriate action to resolve. Initiates refund requests, where necessary, in accordance with departmental procedures.
  • Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures.
  • Follows up on payer payment variances. Applies managed care contract rules to determine payment accuracy. Reports trends of payer behavior.
  • Cross trained in all phases of third party billing, follow-up, cash, credit and collections and customer service related activities.
  • Establishes and demonstrates competency in accounts receivable systems and associated applications.
  • High School diploma or equivalent required. Medical trade school preferred.
  • Two to three years related experience in healthcare strongly preferred. Minimum one (1) year hospital billing experience preferred.
  • Medical terminology and working knowledge of CPT codes.
  • Ability to interpret third party coverage and institution's charges (rates) to patient.
  • Ability to communicate effectively with others.
  • Ability to comply with procedural guidelines and instructions and to solicit assistance when situations arise that deviate from the norm.
  • Demonstrated competency operating a personal computer required.
Excellent verbal and auditory skills are required for communicating with internal staff, customers and representatives from external departments and agencies.