Patient Accounts Representative

The Center for Family Health currently has an open position for a Patient Accounts Representative to work in our Patient Accounts Department in the Downtown building.  This is a full-time, non-exempt position that is responsible for patient billing and accounts receivable including but not limited to billing and collection, submitting insurance claims to thrid party carriers and working on claim edit reports.  This position requires a previous billing experienc and/or further education with applicable experience.  Excellent attention to detail, communication and interpersonal skills are essential for success in this position with the ability to work well within the department.

Essential Duties and Responsibilities: 

• Possess excellent organizational, verbal and written communication skills.
• Assure confidentiality of client private health information adhering to HIPAA verbal, written and third party privacy standards.  Assure confidentiality when working with patients and/or their representative(s).
• Communicate account status exceptions to the Patient Accounts Manager.
• Receive and post insurance, contractual and patient payment data in Practice Management system.  Reconcile cash      posting and balancing to daily bank deposit within 24 hours.
• Review patient credit balance report for correct recipient of refund.
• Review and update patient demographics, bad address, etc.
• Consult with clients regarding available medical/dental assistance programs.  Assist with enrollment based on qualifying criterion, if applicable.
• Follow and abide by CPT, ICD 9/10, HCPCS, and CDT rules, regulations and guidelines for insurance and patient billing.
• Review service items, claim edit and error reports for inconsistencies, adding modifiers, etc.
• Review insurance payment and adjustments for accuracy.
• Resolve patient billing complaints and questions, initiate appropriate adjustments.
• Respond to insurance payer information requests.
• Status claim delays, verify accuracy of service item and charge.  Problem solve within established aging timelines.  Minimize uncollectible amounts thorugh effective follow up and resolution.
• Review electronic health or dental record documentation to resolve discrepancy.
• Communicate with providers to clarify or obtain supporting documentation.
• Correct and rebills clearinghouse – initiated rejections.
• Review and reconcile insurance and patient credit balance report.
• Process insurance credentialing documentation for practice providers.  Complete initial and re-credentialing      documentation to insure payment for services.
• Assist manager with quality improvement chart documentation review.  Add data to spreadsheets for QI reporting, as applicable.
• Conform with and abide by all regulations, policies, work practices and instructions.

Job Knowledge, Skills & Abilities 

• Knowledge of ICD-9/10 and CPT coding (medical) or CDT-4 coding (dental).
• Excellent written and verbal communication skills.
• Ability to work independently and make appropriate billing decisions.
• Ability to work with some MS Office software programs and other software programs.
• Demonstrates understanding and appreciation for diversity for CFH patients and CFH employees and the importance of good customer service.
• Routine testing/training on various job related skills and competencies.

Current Openings for Patient Accounts Representative Jobs at Center for Family Health