Associate Patient Account Representative

Northwell Career SiteVillage of Lake Success, NY
87d

About The Position

The position involves performing billing, collections, third party reimbursements, and computer data entry and retrieval. The role also includes posting charges to accounts and ensuring accurate completion of coding for all assigned physician specialties.

Requirements

  • High School Diploma or equivalent required.
  • 0-1 years of relevant experience, required.

Responsibilities

  • Performs charge and payment entry; also ensures accurate completion of coding for all assigned physician specialties.
  • Aids review of physician's coding and identify possible conflicts in rules.
  • Notifies physician when discrepancies are identified for correction.
  • Coordinates incoming mail with open queue charges to maintain queue status.
  • Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them.
  • Creates detailed, well-versed typed letters to insurances and patients.
  • Creates effective appeal packages to submit to insurances.
  • Communicates in an effective professional manner when speaking with insurances and patients.
  • Maintains organized files of incoming and completed work.
  • Performs related duties as required.
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