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)
Reporting to the Clinic Manager and/or Area Practice Administrator, Patient Accounts Representative II interacts with patients during registration and check-in/check-out services, provides data entry for billing and coding of claims, monitors phone traffic and schedules office visits, advises patients of facility policies and services, assists with reservations and other special requests. Provides administrative support to clinic staff, providers and patients.
Some post-secondary education is preferred. Must be able to read and write the equivalent of eighth grade English. Two (2) years experience in physician clinic office or other health-related field is strongly preferred. Demonstrated customer service experience is required. Knowledge of insurance plans, billing processes, coding experience is preferred.