Patient Account Rep - Hospital Billing

UR Thompson HealthTown of Canandaigua, NY
Onsite

About The Position

This role involves independently monitoring and controlling accounts receivables for third-party payers. The Patient Account Representative will review daily registration/referral processes within their payer area, coordinating with appropriate departments as needed. Key responsibilities include running AR reports, ensuring timely and accurate account reconciliation, and communicating with internal and external customers to resolve issues related to payer-specific requirements in registration, referrals, charges, and coding that impact professional claim submission and payment. The representative is also expected to maintain current knowledge of payer regulations and all manual and electronic procedures for claim submission and remittances.

Requirements

  • High School Diploma or GED required.

Nice To Haves

  • Associate's Degree preferred.
  • Medical terminology desired.
  • ICD-9/10 CPT coding experience is strongly preferred.
  • 2 to 3 years of previous medical billing experience is preferred.
  • Familiarity with all forms of payer claims by paper and electronic media is preferred.
  • Excellent public/patient relations and communication skills.
  • Skills in using Mainframe, Excel, and Word preferred.

Responsibilities

  • Independently monitors and controls accounts receivables of third-party payers.
  • Reviews daily registration/referral processes within own payer area and coordinates with appropriate departments when necessary.
  • Run AR reports from monitoring of specifics. Reconciles accounts timely and accurate.
  • 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 professional claims.
  • Maintains knowledge of payer regulations and all manual and electronic procedures in submission and remittances.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

251-500 employees

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