Patient Account Representative

PerformixRochester, MN
1d

About The Position

Duties: · Institutional Insurance and reimbursement expert for one or more of the following business lines: durable medical equipment. · Performs all aspects of the billing and collection processes for the individual business lines across the enterprise. · These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management. · Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account, billing and payment issues for patients, physicians, nurses, pharmacists, technicians and social workers. · Interprets, applies and communicates Client policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Client. · Mon-Friday 8 a.m. to 5 p.m. CST

Requirements

  • Customer Service
  • Basic to moderate computer knowledge
  • Microsoft Office skills
  • Typing speed moderate
  • Healthcare background/verbiage knowledge
  • Basic insurance knowledge
  • Basic communication skills to effectively collaborate with others
  • Associate Degree in finance, business or healthcare related majors and one year experience in medical, pharmacy or durable medical equipment billing and collection activities Or high school diploma/GED with at least 3 years’ experience in medical, or durable medical equipment billing and collection activities.
  • Qualified candidate must possess strong human relations, communication, problem solving, and organizational skills to interact with a variety of customers and personnel, both within and outside the institution.
  • Must be able to work independently and in a team environment.
  • Candidate should have experience working with Windows based software, Microsoft Word, Excel, and the Internet.
  • Keyboarding experience required.

Nice To Haves

  • Basic claims maintenance or basic prior authorization is a bonus
  • Claims management software experience desired.

Responsibilities

  • Institutional Insurance and reimbursement expert for one or more of the following business lines: durable medical equipment.
  • Performs all aspects of the billing and collection processes for the individual business lines across the enterprise.
  • These processes include service pre-certification, insurance coverage review and personal responsibility determination, communications with patients, claim submissions, denial review, rebilling, appeals, and accounts receivable management.
  • Utilizes skills in problem solving, customer service, and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account, billing and payment issues for patients, physicians, nurses, pharmacists, technicians and social workers.
  • Interprets, applies and communicates Client policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Client.
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