Patient Account Representative Full-Time

Phoebe Putney Health System•Albany, GA

1d•Onsite

About The Position

The Patient Account Representative processes and monitors billing and follow-up of claims submitted to insurance payors, governmental payors, and state agencies. The position prepares and reviews claims and account information, handles failed claims and billing adjustments, and helps resolve claim issues for patients, employers, and carriers. It also maintains account documentation, prepares productivity reports, and performs other duties in alignment with hospital and departmental policies and the organization’s mission, vision, and core values.

Requirements

High school diploma or GED.
Two to three years of experience in a structured business environment.
CPAR certification, or must obtain it within two years of employment.

Nice To Haves

Two to three years of experience in a hospital, physician office, or insurance environment.

Responsibilities

Prepare billing and follow up on claims in a timely manner.
Review accounts and billing information for accuracy before submitting claims to payors or state agencies; enter or revise information as needed.
Prepare adjustment bills, rebills, reprints of claims, and other source documents.
Process failed claims in the biller work file according to carrier-specific requirements.
Coordinate with concurrent review precertification nurses and/or admitting staff on precertification requirements.
Prepare daily productivity reports.
Serve as a liaison among patients, employers, and carriers to resolve claim issues and communicate claim status.
Process patient inquiry requests within 24 hours and assist with customer service coverage as needed.
Maintain account notes for written and verbal correspondence with carriers, patients, or guarantors, and scan correspondence into the ChartMaxx system.
Submit the Medicare Credit Balance Report quarterly.
Attend seminars and educational activities relating to Medicare, Medicaid, and commercial payors, and participate in hospital and departmental staff meetings.
Document and submit required information and data accurately and promptly, tailoring documentation to its users and following required terminology, style, and format.
Follow attendance, punctuality, departmental, and hospital requirements; maintain current knowledge, complete required training and competency evaluations, and perform other assigned duties.
Demonstrate age-specific customer service skills for non-clinical areas and wear protective clothing and equipment as appropriate.