Patient Accounting Representative F/T
About The Position
Under the guidance of the Revenue Cycle Director, the Patient Accounting Representative supports billing for various account types, including HMOs, PPOs, Workers’ Compensation, government payers, and self-pay accounts. The role also handles scan/index, mail distribution, eligibility, secondary billing, and window coverage. It reviews, verifies, obtains, and corrects patient financial status, payer source information, and other relevant registration information to determine financial responsibility. Based on this information, the representative ensures that appropriate financial sources and certification requirements are met to support reimbursement for services provided. The position is responsible for timely filing of insurance claims and reviewing patient accounts to ensure payments and adjustments are made appropriately and promptly. It monitors outstanding accounts, processes refunds for overpaid accounts, responds to billing inquiries, and secures payments or payment arrangements from insurance companies and account guarantors. Other duties may be assigned as required.
Responsibilities
- Handle billing for HMOs, PPOs, Workers’ Compensation, government payers, and self-pay accounts.
- Perform scan/index, mail distribution, eligibility, secondary billing, and window coverage.
- Review, verify, obtain, and correct patient financial status, payer source information, and other relevant registration information.
- Determine patient financial responsibility and ensure appropriate financial sources and certification requirements are met to support reimbursement.
- File insurance claims timely.
- Review patient accounts to ensure payments and adjustments are made timely and appropriately.
- Monitor outstanding accounts.
- Process refunds for overpaid accounts.
- Receive and answer billing-related inquiries.
- Secure payments or payment arrangements from insurance companies and account guarantors.
- Perform other duties as required.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
