Patient Representative Jobs

About The Position

Requirements

• High school diploma or GED
• One (1) year of related revenue cycle experience
• Basic knowledge of medical claims processing.
• Ability to maintain confidentiality.
• Good verbal and written communication skills.
• Maintains professional standards.
• Effective organizational skills.
• Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry.
• Basic knowledge of medical terminology.
• Basic knowledge of revenue cycle functions.
• Ability to pay attention to detail.
• Ability to maintain a professional appearance and attitude.
• Ability to read, write, type, and follow oral and written directions.
• Ability to work independently to effectively and efficiently perform assigned duties.
• Good interpersonal communication and organizational skills.
• Proven ability to work effectively with others.

Nice To Haves

• Knowledge of ICD-10/HCPCS/CPT coding
• Basic knowledge of third-party insurance and government insurance plans

Responsibilities

• Engages in core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, and billing records review.
• Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations.
• Complies with policies, processes and department guidelines for assigned revenue cycle duties.
• Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
• Processes assigned reports, worklists, and patient accounts with high accuracy and attention to detail.
• Collaborates with management and co-workers in an open and positive manner.
• Communicate with patients regarding their accounts, answer billing questions, and provide information on payment options.
• Verify patient insurance coverage and benefits, and coordinate with insurance companies to resolve any discrepancies.