Lead Patient Account Rep
About The Position
Main Function: Performs all functions of a Patient Account Representative as well as assists the Manager in providing support to Patient Account Representatives. Serves as a point of contact for answering questions and helping solve problems. Coordinates scheduling coverage. Provides outstanding service to all patients, visitors, internal and external customers. Demonstrates a positive and professional image at all times Provides input to the Manager for associate performance evaluations. Independently monitors and controls accounts receivable of third party payers. Will review and complete all assigned work-queues daily, and communicate and coordinate with appropriate departments when necessary to address claim questions/issues. Compile AR reports for monitoring of specific payer area weekly/monthly. Reconciles accounts timely and accurately. Communicates and resolves issues with internal and external customers regarding payer specific requirements in registration, referrals, charges, and coding affecting the submission and payment of hospital claims. Maintains knowledge of payer regulations, contract provisions, and all manual and electronic procedures in both submission and remittances. Completes other tasks assigned by Manager.
Requirements
- At least 1 year experience as a Patient Account Representative is required; 3-4 years of previous medical billing experience is preferred
- Familiarity with all payers, payer claim forms, and EOBs required
- Excellent communication skills, both written and verbal
- Excellent public/patient relations skills
- Strong organizational skills
- A willingness to learn and pursue excellence
- Skills in using Outlook, Word, Excel; navigating websites; strong typing abilities
Nice To Haves
- Associates Degree preferred or 3-5 years work related experience required
- Medical terminology desired
- ICD-10/CPT coding experience strongly desired
Responsibilities
- Performs all functions of a Patient Account Representative
- Assists the Manager in providing support to Patient Account Representatives
- Serves as a point of contact for answering questions and helping solve problems
- Coordinates scheduling coverage
- Provides outstanding service to all patients, visitors, internal and external customers
- Demonstrates a positive and professional image at all times
- Provides input to the Manager for associate performance evaluations
- Independently monitors and controls accounts receivable of third party payers
- Reviews and completes all assigned work-queues daily
- Communicates and coordinates with appropriate departments when necessary to address claim questions/issues
- Compiles AR reports for monitoring of specific payer area weekly/monthly
- Reconciles accounts timely and accurately
- Communicates and resolves issues with internal and external customers regarding payer specific requirements in registration, referrals, charges, and coding affecting the submission and payment of hospital claims
- Maintains knowledge of payer regulations, contract provisions, and all manual and electronic procedures in both submission and remittances
- Completes other tasks assigned by Manager
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
