Position:  Patient Account Services Representative
Type:  Full Time
Location:  
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Position Overview / Summary

The Patient Account Services Representative is primarily responsible for the full cycle of medical billing for assigned sites.  This includes processing all charges entered by the providers at assigned sites as well as performing account follow up for third party payers and self-pay patients.  The ideal candidate will have experience in ICD-10 and CPT coding as well as A/R follow up and working aging reports. 

 

Essential Functions (Including, but not limited to)

  • Reconcile daily census to charge data and count in billing systems
  • Code charges and enter demographics when necessary
  • Update registrations on a daily basis before processing claims
  • Verify insurance, correcting errors and entering authorizations where needed
  • Contact provider directly for additional information or clarification as required
  • Identify and bill secondary or tertiary insurances, if applicable
  • Perform effective account follow up with third party payers via phone and Internet to obtain claim information
  • Correct claim denial errors received via correspondence and rebill corrected claim
  • Process appeals by ordering charts, correcting claims data errors, and working with department coders to ensure accurate billing
  • Perform follow-up on patient self-pay balances, setting up payment plans and processing payments as necessary

 

Job Requirements

  • Minimum two years of experience in a billing service, physician office or in-patient setting
  • Two year degree preferred; experience will be considered in lieu of degree
  • Effective verbal and written communication skills
  • Working knowledge of ICD-10 and CPT coding as well as revenue cycle management
  • Proficiency with MS Excel and other MS Office software and the ability to learn new software quickly
  • Critical thinking a must!
  • Ability to work efficiently in a fast-paced and high volume environment
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