Clinic Patient Accounts Rep

Education:     HS Diploma and/or GED equivalent

Training and Experience:    Medical Billing and ICD-9 and CPT coding experience preferred. Must be computer literate. Excellent customer service/interpersonal communication skills. Detail oriented.

Job Knowledge:   Must know basic principals of accounting, balancing accounts, computer generated reports, HIPAA regulations and insurance practices and general office operations.

DESCRIPTION: 

Responsible for the account billing and posting of clinic, hospital and nursing home charges for all physicians on a daily basis.  Processes insurance billing promptly and accurately to ensure collectability.  Actively reviews existing patient data and status of account balances to insure correct and accurate billing.  Processes daily posting information, monitors statement procedures as applicable to clinic, requests refunds and forwards to appropriate person and maintain any other actions required for proper account maintenance according to policy.  Prepares account for secondary insurance filling, if applicable, or transfers account to patient responsibility according to policy.  Routinely investigates insurance denials and takes appropriate action to ensure payment of claim.  Employee will review A/R and take appropriate steps to facilitate collections according to policy as approved by individual clinic manager.  Maintains accurate record of postings if applicable (i.e., EOB’s, copies of patient checks and/or check stubs, posting logs, etc.) for future reference as needed.  Posts all A/R payments and/or adjustments in a timely manner as applicable to individual clinic.  Generates claim forms and attaches all necessary documentation or EOB’s required for maximum payment; notifies Supervisor of any unusual occurrences regarding formatting and/or entry issues found upon close inspection of the claims prior to mailing.  Provides patient with copies of statements as needed (i.e., personal, tax purposes, insurance purposes, etc.).  Provides WC carriers, Attorney’s and other professional entities with needed information for payment of claims.