Patient Account Rep - TRH

Responsible for daily billing, follow-up, reviewing and working edits to insure the highest reimbursement on claims.

Job Duties:

• Collects, reviews, updates and ensures systems and/or documentation for complete and accurate billing
• Follow up on claims status, investigates and resolves obstacles to prompt reimbursement
• Completes data entry as needed for claim submission, client invoicing and/or patient invoices
• Identifies and reports any payer trends, denial patterns and delays to management
• Adheres to state, federal and HIPAA laws and guidelines with regard to patient records and collections
• Contacts patients/insurance companies to collect unpaid insurance claims.
• Stays informed about changes in Medicare and Medicaid.
• Demonstrates the ability to be flexible, organized and function well in stressful situations.
• Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage.
• Treats patients/families with respect; ensures confidentiality of patient records.
• Maintains a good working relationship within the department and with other departments.
• Maintains a professional working relationship with insurance companies.
• Performs other duties as assigned.
• Ensures documentation meets current standards and policies.
• Create and work appeals and/or reconsiderations for insurance claims resolutions
• Follow-up on insurance claims by calling or online processes to insure payment

Education:

Requires a high school diploma or GED.

Training/Experience:

• Through understanding of Medicare, Medicaid, HMO’s, PPO’s private insurance companies.
• Ability to work in a fast-paced environment with shifting priorities and rapid changes
• Ability to communicate with internal and external customers in professional manner
• Ability to multi-task, establish and meet deadlines, set and achieve high performance standards
• Ability to identify and mitigate issues, make sound judgments and decisions
• Basic knowledge of revenue cycle best practices
• Ability to work independently and within teams as needed
• Moderate knowledge of Microsoft Windows and Office applications

Skills/Qualifications:

• Knowledgeable of HIPPA compliance.
• EMR/EHR Experience
• Customer Service
• Time Management
• Organization
• Attention to Detail
• Professionalism
• Quality Focus