Patient Accounts Insurance Representative

The responsibilities of this job include, but are not limited to, the following: Reviewing processed claims to ensure proper payments received according to the payers' contract; Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment; Verifying eligibility, benefits, plan type, patient responsibility and insurance payments; Correcting registration errors on patients' accounts; Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts; Verifying that claims are filed according to the contracted agreement; Effectively communicating insurance trends or issues to the appropriate persons, including but not limited to Patient Satisfaction Specialist (PSS), Team Leads, Supervisor, and the contracting department; Maintaining low accounts receivable days for assigned insurances; Maintaining the daily work flow goals established for the Patient Account Insurance Representative department; Following departmental policies and procedures; Answering phone calls to provide customer service to patients, insurance representatives, center employees, and the Administrative Offices; Resolving and responding to account inquiries from patients, insurance representatives, center employees, and all other Administrative Office staff as necessary and in a timely manner; Processing patients' payments and established payment plans; Establishing and maintaining a working relationship with payer representatives to ensure proper claims filing and insurance payments; Keeping informed of all changes relating to insurance policies and filing procedures, according to contracted agreements. Operating, using, and maintaining office equipment as trained. Minimum education and professional requirements include, but are not limited to, the following: Employee must be 18 years of age or older; High school graduate or equivalent; Knowledge of general insurance policies; Microsoft Word, Excel, and Outlook experience (required); Certified Professional Coder [CPC] or Certified Professional Coder Apprentice [CPC-A](preferred); or ability to obtain certification within one year from hire. Three years of experience working in the healthcare field, preferably in a medical billing department (preferred); Excellent analytical, written, and verbal communication skills; Ability to prioritize, organize, and multi-task in a timely manner; Knowledge of Microsoft Word, Outlook, and Excel; Minimum typing experience; Must be able to use phone system; Must be able to sit for long period of time.