Patient Account Representative

U.S. Orthopaedic PartnersBirmingham, AL
1dOnsite

About The Position

General Summary of Duties: Coordination of accurate patient and insurance billing and follow-up for timely recovery of surgical and clinical charges for patient services rendered. Serves as clinical representative in communication with patient and insurance companies concerning surgical and clinical charges. Supervision Received: Reports to Business Office Manager Supervision Exercised: None Typical Physical Demands: Requires sitting for long periods of time. Working under stress and use of a telephone required. Manual dexterity required for use of computer keyboard. Typical Working Conditions: Working in an office environment. Principal Duties: Process Remit Denials, add referring doctors and resubmit claims to Medicaid, filing claims to secondary insurance, keying claims for secondaries to Medicaid and BCBS, Work reports (following up on status of claims, calling in corrections to Medicare) take credit card payments, assist clinical staff by answering questions about insurance companies to guarantee proper payment for our services, assist patients with insurance questions, key corrections into system and other duties as assigned. Licenses, Certifications or Education Requirements: None Experience, Knowledge, Skills and Abilities: Knowledge of guidelines for applicable payers or primary, secondary and tertiary billing. Current knowledge of all electronic software utilized in the billing department. Ability to follow and develop specific instructions and set procedures. Ability to work to precise and established standards of accuracy to enter data at a high rate of speed. Ability to work pleasantly and effectively with patients and coworkers. Ability to communicate clearly.

Requirements

  • Knowledge of guidelines for applicable payers or primary, secondary and tertiary billing
  • Current knowledge of all electronic software utilized in the billing department
  • Ability to follow and develop specific instructions and set procedures
  • Ability to work to precise and established standards of accuracy to enter data at a high rate of speed
  • Ability to work pleasantly and effectively with patients and coworkers
  • Ability to communicate clearly

Responsibilities

  • Process Remit Denials
  • Add referring doctors and resubmit claims to Medicaid
  • Filing claims to secondary insurance
  • Keying claims for secondaries to Medicaid and BCBS
  • Work reports (following up on status of claims, calling in corrections to Medicare)
  • Take credit card payments
  • Assist clinical staff by answering questions about insurance companies to guarantee proper payment for our services
  • Assist patients with insurance questions
  • Key corrections into system
  • Other duties as assigned
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