Patient Accounts Representative

Harris County ESD 11•Klein, TX

171d•Onsite

About The Position

POSITION SUMMARY:? The Patient Accounts Representative, under the direction of the Patient Account Manager and Patient Account Supervisor is responsible for all insurance follow-up specific to the accounts they are assigned and meeting productivity expectations. ESSENTIAL SKILLS: Adheres to all agency policies and procedures. Maintain appropriate physical and mental health required to perform the?requirements of this job.? Regular and timely physical attendance during assigned work hours.? Ensure confidentiality of medical and all other discretionary information. Work to ensure a positive environment through careful and critical communication with all levels within the organization. On-call and/or overtime work required in emergencies and at other times as directed or assigned.? Ensure confidentiality of medical and all other discretionary information. Adherence to STARCARE values in all interactions. Take an active role to ensure gossip and hearsay are not perpetuated. Professionally represent HCESD11 at all times.

Requirements

High School Diploma or GED
At least three (3) years of experience in data entry and medical billing
Knowledge of medical terminology
Knowledge of medical insurance claim filing processes
Ability to use 10-key by touch and type 40 wpm.
Experience in the use of personal computers
At least (1) year of previous office experience in a structured environment
Effective communication skills
Strong customer service skills
Strong ability to multi-task and work well under pressure with the ability to perform multiple tasks simultaneously with a high degree of accuracy
Must not have been excluded by the OIG to Participate in Federally Funded Health Care Programs

Nice To Haves

Experience in Ambulance ICD-10 coding
Knowledge of Ambulance Medicare policies and procedures
Knowledge of Ambulance Medicaid policies and procedures

Responsibilities

Process and respond to all patient and insurance correspondence.
Add or correct any billing information to the A/R system, i.e., Medicaid, Medicare number, insurance information, etc.
Schedule any needed claims for billing.
Process returned mail (paper and electronic).
Send letters to patient requesting necessary information, such as supplemental insurance information, Medicare explanation of benefits, etc.
Sent letters to patients requesting payments on accounts.
Monitor and maintain the accounts receivables by processing aging reports and/or specific workflows as indicated by the collection procedures for each payer type.
Process all denials and appeals in a timely manner
Follow through with calls and other collection procedures as assigned.
Document all attempts at contacting responsible parties for outstanding accounts.
Refer accounts to Patient Account Supervisor/Manager when necessary.
Receive incoming telephone calls regarding accounts.
Return messages daily.
Assist walk-in customers as needed.
Document customer complaints regarding service or billing and refer to the Supervisor, who forwards them to the appropriate person.
Other duties as assigned.