Patient Accounts Representative organizes inpatient and outpatient claims for electronic or hard copy mail and forwards to appropriate third party payers. Reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Being a Patient Accounts Representative requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Patient Accounts Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Patient Accounts Representative typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
The Patient Accounts Representative – Level I performs any and all necessary duties pertaining to recovery of payment or reimbursement legally entitled to the customers of Vital Business Services as a result of their health care provider services. The position is assigned basic functions such as processing medical records; answering basic questions from internal and external customers; performing authorization review and essential clerical duties.
Essential Duties & Responsibilities
· Monitors incoming requests for service to determine if authorization is required. Requests authorizations as required for incoming or completed services. Monitors outstanding requests and incoming records, responds as required to complete authorization process.
· Maintains confidential medical and employment records according to company compliance plan and established policies.
· Scans medical records into electronic filing locations and filing paper records as required.
· Responds to requests for Medical Records according to company security and privacy policies, including completion and tracking of medical records invoices and subpoenas as needed.
· Processes weekly printed invoices and claims; preparing invoices for mailing and tracking certified mail as needed.
· Prepares records as needed for submission with vendor invoices and compiling vendor invoices for submission.
· Maintains vendor invoice tracking system and preparing monthly vendor statements.
· Reviews billing records and returning items that need correction. Monitors outstanding requests and following up with Medical Operations management. Processes corrections as needed.
· Reviews accounts that have been held for completion of patient care reports and logging changes as records are completed.
· Serves customers by receiving them as they enter the office; answering questions; forwarding messages; ensuring comfort and seeing to the needs of customers, visitors and other people coming into the building.
· Answers incoming calls as primary medical billing operator, responding to billing questions and processing patient credit card payments. Posts payments as directed.
· Monitors equipment operation; calling for repairs; monitoring and purchasing postage meter funds.
· Sends faxes upon request
· Assists, as directed, with preparation of customer mailings such as medical claim packets.
· Provides timely and accurate reports for management as requested
· Operates business office machines such as copy machine fax machine, postage machine and computer, adding machine, calculator, and stapler.
Performs other duties as assigned by the Patient Accounts Manager or other members of the administrative team.
Education, Knowledge & Experience:
Any combination of education and experience equivalent to completion of high school. Must be able to read, write and understand English.
Competencies/Skills
The minimum performance expectations include, but are not limited to, the following functions/tasks:
· Cheerful presence and people skills
· Technologically literate with strong computer skills including familiarity with Microsoft Word and Excel and other commonly used software. Access Database skills would be a plus.
· Good internet skills, including use of e-mail programs and group messaging
· Good organizational skills and record keeping (attention to detail is critical)
· Documentation handling including paper and electronic filing
· Good Verbal and Written communication skills
· Ability to follow directions
· Ability to establish and maintain an effective working relationship with the public and other employees.
· Ability to perform the duties of the job for an entire workday.
Job Type: Full-time
Pay: From $15.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Work Location: In person
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