Patient Account Representative - Remote
Tenet Healthcare
Accounts Receivable Representative II
US Anesthesia Partners
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Collect outstanding accounts receivable from third party payers, both government and commercial.
- Contact insurance companies for status on outstanding claims.
- Process and follow up on appeals to insurance companies.
- Refile claims as needed.
- Work correspondence daily and resolve Manual Tasks assigned to AR for follow up.
- Maintain basic proficiency with spreadsheets and data entry accuracy.
- Audit adjustment requests and complete when appropriate.
- Work outstanding Accounts Receivable from assigned work queues and meet productivity standards.
- Maintain accuracy rating of 97% or greater on audited accounts.
- Phone patients for payment or payment arrangements on outstanding balances.
- Maintain strictest confidentiality and comply with company policies.
- Work to become a subject matter expert across multiple workflows and various payers.
- Perform other duties as assigned.
Requirements
- Highschool graduate or equivalent.
- Associate or bachelor’s degree in business administration or related field preferred.
- 1-3 years professional/healthcare experience preferred.
- 1-3 years Accounts Receivable experience preferred.
- Excellent verbal and written skills to maintain professionalism in all methods of communication.
- Basic math skills for calculating anesthesia units, proper reimbursement, and percentages for appropriate adjustments.
- Understanding of Medical terminology.
- Advanced knowledge of insurance processing, guidelines, laws, and EOBs.
- Knowledge of managed care, Medicare, and Medicaid guidelines.
- Data entry skills with high accuracy.
- Knowledge of CPT, ICD-10 and ASA codes.
- Good problem-solving skills.
- Decision making ability with sound judgement.
- Strong analytical skills and attention to detail.
- Skill in gathering and reporting information.
- Ability to work effectively with staff, physicians, and external customers.
- Must have a pleasant disposition and high tolerance level.
- Must be able to work as part of a team.
- Ability to work independently with limited supervision.
- Must be a self-motivator and goal oriented.
- Skilled in computer applications including MS Word, MS Excel, MS Outlook, and MS Teams.
- Communicated well with the public.
- Ability to perform occasional standing, walking; frequent sitting; frequent hand/finger movement; use office equipment; communicate verbally and in writing.
- Must not reside in New York, California, Hawaii, or Alaska (company restriction).
