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)
Insurance verification. Responsible for financial assessment of patients, determination of ability to pay, collection of deposits, negotiation of payment arrangements, securing financing of self-pay liability, identification of funding sources, some tracking, monitoring and reporting requirements. Responsible for billing of claims and third party insurance. Billing system maintenance and identification of problem or uncollectible accounts as required. Maintains patient financial file. Advises, informs, and assists the patient/guarantor/family in regard to hospital financial policies. Maintains patient privacy and confidentiality. Performs other duties as needed.
Education: Must have a high school diploma.
Experience: Two years prior admissions and/or collections in a hospital setting required.
Additional Requirements: Must be able to demonstrate average to high math skills. Knowledge of third party payment procedures, managed care and government programs strongly recommended. Good communication skills and ability to problem solve a must. Knowledge of credit, collection, and confidentiality laws highly desirable. Previous electronic billing experience desirable.
Personal Requirements: Must have strong written and verbal communication skills; ability to deal effectively with all levels of hospital management to the public.
Clear All
0 Patient Accounts Representative jobs found in Youngstown, OH area