Patient Account Representative

Missouri Heart Center•Columbia, MO

7d•Onsite

About The Position

GENERAL OVERVIEW Responsible for accurately and efficiently managing patient accounts, ensuring timely billing and collections, and providing exceptional customer service. Strong understanding of insurance processes, billing regulations, and excellent communication skills.

Requirements

High School diploma or GED.
Minimum of 1 year experience in medical billing and collections.
Knowledge of medical terminology, ICD-10 and CPT coding.
Proficiency in using electronic medical records (EMR) systems.
Minimum 40 WPM typing speed.
Strong understanding of insurance processes and procedures, including Medicare, Medicaid, and commercial insurance.
Ability to work independently and as part of a team.
Detail-oriented and organized.
Valid driver’s license is required, as is use of personal vehicle (mileage reimbursed).

Responsibilities

Work with insurance companies, patients, and other staff to follow-up on accounts until zero balance, turned over for collection, or refund requested.
Create and maintain accurate electronic patient accounts.
Verify patient insurance eligibility and benefits.
Process patient charges and payments, including co-pays, deductibles, and co-insurance.
Post payments and adjustments to patient accounts.
Research and resolve patient billing inquiries, discrepancies, and missing information.
Generate and mail patient statements.
Manage patient payment plans and collections.
Work with staff and physicians to resolve coding and error issues and ensure accurate and timely billing.
Submit electronic claims to insurance companies.
Monitor claim status and follow up on rejected or unpaid claims.
Appeal denied claims and provide necessary documentation.
Research and resolve insurance payment discrepancies.
Stay up-to-date on insurance regulations and changes.
Provide excellent customer service to patients, answering questions and resolving concerns in a professional and courteous manner.
Explain billing policies and procedures to patients.
Assist patients with payment arrangements and financial assistance options.
Maintain required billing records, reports, and files.
Drive to bank and post office daily to make deposits and pick up mail, and batch it up to post.
Assist with other duties as assigned.