REPRESENTATIVE-PROFESSIONAL-PATIENT FINANCIAL SERVICES

POSITION TITLE:                          Patient Account Representative Professional

DEPARTMENT:                             Patient Financial Services

FLSA STATUS:                             Non-exempt

REPORTING RELATIONSHIP:    Manager, Patient Financial Services Professional

Job Summary:  The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and “status” of claims to ensure timely and appropriate processing and payment.

Essential Functions:

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
• Processes billing daily, reviewing bills for correctness and completeness prior to submission.
• Maintains a clear, concise, and complete history on each account according to established procedure.
• Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
• Understands and performs follow-up processes for accounts on a daily basis and works accounts according to established procedure.

Minimum Qualifications:  18 years of age. Six (6) months previous insurance billing experience.

Knowledge, Skills & Abilities:  Knowledge of third-party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Knowledge of ICD-10, CPT Coding and previous experience in a health care setting preferred.  Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change. 

Working Conditions:  Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements:  Constantly sit, see/visual acuity.  Frequently handle/grasp/feel, talk/hear.  Occasionally lift/carry 1 to 25 lbs.

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.