Patient Access Representative Senior-Primary Family Med Pineville

Summary:

Performs duties relative to financial aspects of patient care, including financial counseling, billing, and collection of accounts. Assists managers with various other duties as necessary.

Responsibilities:

* Submits insurance claims to third-party payors electronically and on paper. Follows up on unpaid third-party claims to resolution (payment or denial).
* Evaluates and processes accounts for adjustments, charity, outside assistance or bad debt. Analyzes accounts to ensure full reimbursement and to satisfy patient and/or insurance company inquiries.
* Collects balances due from patients using phone calls, personal contact, statements, letters, or third-party services.
* Receives, processes, and responds to correspondence or phone inquiries from patients, guarantors, insurance companies, attorneys, etc.
* Compiles data, tracks results, and reports to management.
* May be assigned specialty responsibilities in the areas of refunds, reconciliation, balancing, and/or posting, and in data collection and analysis.
* Handles difficult patient account management issues referred by other staff.
* Assists managers with various duties, including, but not limited to, review of write-offs, adjustments, refunds, and discounts; coordinating work group activities; and training of other staff.

Requirements:

• HS Diploma or equivalency required
• Post HS education preferred
• Prefer three (3) years of experience and working knowledge in the Patient Access Department.
• Experience calculating expected reimbursement according to payer regulations and/or contracts
• In-depth knowledge and ability to maneuver efficiently through Patient Accounting Systems, Documenting and, inputting correct information in patient's accounts in a timely manner.
• Good technical aptitude working with a variety of MS Office products (Word, Excel, PowerPoint, Outlook) and/or ability to learn and develop more advanced skills with various applications.
• Strong verbal and written communication skills. Ability to effectively and efficiently articulate ideas to team members and management in a timely manner.
• Good understanding of the various areas of government, non-government programs, billing, customer service, and cash applications.
• General hospital A/R accounts knowledge is required.
• College education, previous Insurance Company claims experience, and/or health care billing trade school education may be considered in lieu of formal hospital experience.
• Understanding of alternativeBusiness Office financial resources and the ability to provide information and/or recommendations related to these sources of recovery are preferred.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time