Patient Account Representative

CommonSpirit HealthStockton, CA
1d

About The Position

As our Medical Office Professional, you will be the welcoming front-line ambassador and crucial administrative hub, ensuring exceptional customer service and seamless clinic operations. Every day, you will serve as the primary customer service contact, managing communications and distributing calls/messages for all stakeholders. You'll update patient demographics, verify insurance, take accurate messages, and schedule appointments via our electronic system. You'll also perform clerical duties supporting clinic goals and responsibly handle sensitive information. To be successful in this role, you will possess exceptional interpersonal and communication skills, meticulous attention to detail, strong organization, and proficiency with electronic systems. Your proactive problem-solving and dedication to customer satisfaction will be paramount. Perform necessary billing and follow-up functions as directed by department leadership. Demonstrate understanding of relevant terminology (e.g., financial and/or medical) required for claim processing. Demonstrate and maintain understanding of state, federal and third-party regulatory requirements as they apply to revenue cycle operations (e.g., o Health-care reform, state surcharges, CMS) Must have proficient knowledge and the ability to accurately utilize all reimbursement tools including payer contracts, claims workflow systems, and expected reimbursement software. Demonstrate, maintain understanding of, and comply with hospital/clinic billing policies and procedures. Responsible for collecting accurate information and verifying all documentation necessary for timely billing and resolution of patient accounts.

Requirements

  • High School Graduate or GED Graduate
  • 1+ years experience with billing, collections, and/or Revenue Cycle operations in an acute care or ambulatory setting
  • Typing Speed 40 WPM required
  • Ten Key – 8,000 keystrokes per hour
  • Knowledge of Government and/or Non-Government billing and collections regulations
  • Knowledge of claim submission, claims follow-up, appeals process, and medical and billing terminology

Responsibilities

  • managing communications and distributing calls/messages for all stakeholders
  • update patient demographics
  • verify insurance
  • take accurate messages
  • schedule appointments via our electronic system
  • perform clerical duties supporting clinic goals
  • responsibly handle sensitive information
  • Perform necessary billing and follow-up functions as directed by department leadership
  • collecting accurate information and verifying all documentation necessary for timely billing and resolution of patient accounts
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