Patient Account Rep - TRH

Job Description

Responsible for daily billing, follow-up, reviewing and working edits to insure the highest reimbursement on claims.

Job Duties:
  • Collects, reviews, updates and ensures systems and/or documentation for complete and accurate billing
  • Follow up on claims status, investigates and resolves obstacles to prompt reimbursement
  • Completes data entry as needed for claim submission, client invoicing and/or patient invoices
  • Identifies and reports any payer trends, denial patterns and delays to management
  • Adheres to state, federal and HIPAA laws and guidelines with regard to patient records and collections
  • Contacts patients/insurance companies to collect unpaid insurance claims.
  • Stays informed about changes in Medicare and Medicaid.
  • Demonstrates the ability to be flexible, organized and function well in stressful situations.
  • Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage.
  • Treats patients/families with respect; ensures confidentiality of patient records.
  • Maintains a good working relationship within the department and with other departments.
  • Maintains a professional working relationship with insurance companies.
  • Performs other duties as assigned.
  • Ensures documentation meets current standards and policies.
  • Create and work appeals and/or reconsiderations for insurance claims resolutions
  • Follow-up on insurance claims by calling or online processes to insure payment

Requires a high school diploma or GED.

  • Through understanding of Medicare, Medicaid, HMO’s, PPO’s private insurance companies.
  • Ability to work in a fast-paced environment with shifting priorities and rapid changes
  • Ability to communicate with internal and external customers in professional manner
  • Ability to multi-task, establish and meet deadlines, set and achieve high performance standards
  • Ability to identify and mitigate issues, make sound judgments and decisions
  • Basic knowledge of revenue cycle best practices
  • Ability to work independently and within teams as needed
  • Moderate knowledge of Microsoft Windows and Office applications

  • Knowledgeable of HIPPA compliance.
  • EMR/EHR Experience
  • Customer Service
  • Time Management
  • Organization
  • Attention to Detail
  • Professionalism
  • Quality Focus

Type: Full-time

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Taylor Health Care Group

A Fully Integrated Health System.

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