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Patient Account Representative
Engage Partners, Inc.
Melville, NY
Full-Time
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
Responsibilities:
- 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.
Requirements:
- 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.
Recommended Skills
Billing
Accounts Receivable
Collections
Insurance
Managed Care
Reconciliation
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