Job Title: Patient Accounts Representative
Department: Billing
Reports To: Patient Accounts Manager
FLSA Status: Non-Exempt
Summary:
Responsible for reviewing insurance claims for accuracy and timely filing on behalf of the organization, to procure the monetary collection process of insurances, vendors and third-party payments along with timely patient portion billings to meet the organization’s policy and procedure requirements for receipt and collection processes.
Essential Duties and Responsibilities:
Achieve Results
Ensure timely and accurate claim follow up on denied and/or appealed claims. Assist problem resolution between the organization and its patients, payer sources, as necessary to expedite claims processing and patient balance billing process.
Operational Excellence
Ensure all billing processes and collection functions are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices.
Relationships
Develop and ensure positive working relationships with patients, contractors, vendors, third party payers, and other departments this position supports.
Leadership & Stewardship
Primary Tasks and Duties
Submit claims to the appropriate health plans daily, review all denials for complexity, make corrections, and resubmit claims within 30 days of the denial received date.
Essential Functions & Key Competencies
Demonstrate a strong business acumen as well as substantial knowledge and expertise in medical claims and billing. Analyze, synthesize and communicate complex data, clinical information, business needs and related issues in an accurate, objective, and straightforward manner.
Demonstrate interpersonal savvy and influence skills in all dealings with regulatory agencies, government entities, network providers, and related concerns.
Qualifications:
Education
Professional
Demonstrated success in communication, customerservice,or working with the public, preferably in a medical care facility.
Demonstrated success in general computercompetence,including basic Word and potential to be trainedinspecific software for patient information, billing, and communication.
Language
Physical Demands:
Must have manual dexterity for use of keyboard. Ability to remain stationary for periods of up to four hours. Ability to communicate via phone, mail, and in person to resolve disputes, solve problems, etc.
Work Environment:
Benefits:
Medical, Vision, and Dental coverage, 4% 401k Contribution, $50 a month HRA contribution to be used towards qualifying medical expenses, Paid Time Off (PTO) plus paid holidays.
Equal Opportunity Employer:
North Olympic Healthcare Network is an equal opportunity employer (EOE). All applicants will receive equal consideration for employment without regard to age, race, color, national origin or ancestry, ethnicity, family or marital status, sex, genetic information, disability, creed, religion, citizenship, socio-economic status, military or veteran status, or any other characteristic protected under applicable federal, state, or local law.