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)
Job Summary: Responsible for the timely and accurate posting of all accounts receivable payments and adjustment transactions. Ensures that all amounts are balanced to the deposit received and that all related transactions such as contractual adjustments, denials, and payments reversals included in remittance correspondence are recorded in the patient accounting system.
Essential Functions:
Minimum Qualifications:18 years of age.
Knowledge, Skills & Abilities: Knowledge of hospital CDM is helpful. Need excellent verbal communication and interpersonal skills. Must be able to respond to questions in a tactful and professional manner. Must have good organization and time management skills. Candidate must be self-motivated and possess the ability to work well with others.
Working Conditions: Work is generally performed within an office environment with standard office equipment available.
Physical Requirements: Work is generally sedentary in nature, must be able to work for prolonged periods of time, sitting at a computer.
Physical Activities Chart: Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.