The Patient Account Representative 1 monitors the patient accounts process. This entry-level Patient Accounts Representative 1 works with patients, co-workers and external agencies to ensure the prompt payment and/or reimbursement of hospital and professional charges. The Patient Accounts Representative 1 is responsible for the billing and collection functions for multiple providers. The incumbent must review accounts on the practice management system and distinguish between balances and/or credits belonging to managed care vs the patient. The Patient Accounts Rep 1 is responsible for collections on delinquent insurance and patient balances and for working credit balance reports, posting payments and adjustments, and filing claims and appeals denials with managed care companies.
Requirements
Experience: 1 year experience or related certification program in areas such as billing, medical office, coding and accounting. Bachelor's Degree or Associate's Degree, trade school, or certification substitutes 1 yr exp.
Education: High School or equivalent
Skills: Must possess knowledge of ICD-9/10, CPT and HCPCS coding. Must have accurate data entry skills. Must be able to answer multiple phone lines with incoming and outgoing calls. Must understand the explanation of benefits of various managed care companies. Must be able to demonstrate teamwork and willingness to work in cooperation and support of others as well as comply with FMOLHS policies and procedures.