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Patient Account Representative

UMC Health System · US

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®.

Job description

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. JOB SUMMARY: Ability to communicate both verbally and in writing, mainframe computer skills, basic accounting and detailed clerical skills and good customer relation skills. Manage the in network and out of network accounts according to third party payer rules, and to comply with MTALA rules and regulation. Have knowledge, and an understanding of medical and third party payer terminology. REPORTS TO: JOB SPECIFIC RESPONSIBILITIES: incorrect proration. adjustment spreadsheet. Documentation is required either in NB or as a comment on the transaction adjustment. this includes proper handling of credit balances. when you are unable to reach by phone or calls are unreturned. This is to ensure claims are billed and paid timely. contract with each payer. by consistently utilizing “AW” function, and strives to be proactive by educating departments as needed on accuracy of FSC/Plan assignment. - Manage and have knowledge of all contracts particular to your desk. - Determine if correct reimbursement has been submitted by the payer and/or if cre...