Patient Accounts Representative

Job description

Description Shift: 7:30a-4:30p Monday-Thursday, 7:30a-1p Friday: Job Summary: Responsible for the insurance billing process between the hospital and insurance companies, federal agencies and third party payers. Audits patient accounts to ensure procedure, charges and coding accuracy. Collects payments from commercial insurance companies, state and federal agencies. Participates in performance improvement and continuous quality improvement (QI) activities. Job Duties and Responsibilities: - Coordinates the payment process and collects payments from insurance companies, federal and/or state agencies and/or third party payers by utilizing billing system to complete appropriate forms and submission - of claims to proper agencies/insurance companies. - Maintains a professional, working relationship with the insurance companies, government agencies and/or third party payers. - Works independently to resolve account problems and timely follow-up. - Resolves overpayments and communicates with Business Office Director on refunds. - Able to assist with receipt process and adjusts patients’ bills to reflect credits, debits and balances. - Understands pre-certification and referral process as...