Patient Account Representative

Patient Account Representative SUMMARY:Under the direction of the Patient Account Manager and Supervisor, the Patient Account Representative (PAR) is responsible for reviewing, analyzing and collecting outstanding receivables on patient accounts as assigned per client specifications. The PAR also assists patients and insurance companies in resolving account balances, and performs collection follow-up on accounts within a defined segment of accounts receivable to ensure timely reimbursement from third party payors and patients.   ESSENTIAL DUTIES & RESPONSIBILITIES: 1.  Performs timely follow-up on patient accounts to obtain expedient resolution and correct reimbursement. 2.  Responsible for reviewing and researching payment discrepancies and determining appropriate measures to resolve account. 3.  Contacts third party payors to determine the unpaid status of billed claims. 4.  Requests payment from patients and/or guarantors, establishing payment arrangements, where required, and monitoring defaulted payment plans. 5.  Adjusts and updates financial, demographic, insurance and other reports pertaining to patient accounts. 6.  Processes denials from carriers upon receipt of determination from carrier to resolution of account. 7.  Complies with policies for maintaining confidentiality of patient, client, and Company documentation. 8.  Advises the Project Manager of any problem accounts and/or negative trends as related to specific accounts and particular third party payors. 9.  Performs other related duties and assignments as required. 10.  Accurately interprets and applies all client contracts. 11.  Performs other related duties and assignments as required. EXPERIENCE/SKILL REQUIREMENTS:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be provided to enable individuals with disabilities to perform the essential functions.   EDUCATION:  High School Diploma or GED    EXPERIENCE:Minimum of one to two years experience in a medical practice billing and/or healthcare collection setting, preferably experience in an acute care hospital patient account setting.  Proficient understanding of reimbursement contracts, experience in calculating reimbursement rates, and working knowledge of UB92 and HCFA forms, and electronic billing media.