Patient Account Representative

Patient Account Representative | Tulsa, OK

Reports To:Revenue Cycle Manager

Job Summary:Review and follow-up of charges billed to insurance carriers.This includes contacting insurance companies, researching and re-filing claims, resolving patient billing problems.Shared responsibility for answering patient and insurance calls, printing, reviewing, and mailing demand claims and statements as needed.

Essential Functions and Responsibilities:

• Generates and prints insurance claims, both paper and electronic.
• Files primary, secondary and tertiary insurance claims per office protocol.
• Processes requests for additional information.
• Researches, corrects, and refiles all claim denials due to incorrect or missing information.
• Follows-up on accounts where insurance payment is pending.
• Answers patient questions and inquiries regarding their accounts and follows through on requests.
• Works cooperatively with others to increase accuracy and efficiency.
• Posts all actions and maintains permanent record in patient account or other appropriate place.
• Prepare and submit account adjustments.
• Call Insurance companies, hospitals, and referring physician offices to resolve payment problems.
• Assists other departments as requested by supervisor.
• Attends meetings as required.
• Maintains strictest confidentiality.
• Work claim dashboard from eCW.
• Verify accuracy of billing data and revise any errors
• Secure authorizations not properly obtained before services rendered.
• Research and prepare refund requests for insurance and patient reimbursement.
• Write up and file appeals to insurance as needed.

Education:

• High school diploma or GED required.

Work Experience:

• One year of insurance and collection experience in a health care organization.

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