Patient Account Representative-Rehab
3 weeks ago
Job Description –Patient Account Representative
- Submit charges from missing slips for providers at assigned location(s) which includes reviewing all aspects of claim to ensure accurate and timely claim submission (diagnosis codes, charges, referring physician, plan of care dates, authorization, benefit information, etc.)
- Post patient responsibility (i.e. copay, partial deductible/coinsurance payment, self-pay, etc.) amount during claim submission process
- Query providers about incorrect billing/coding, documentation discrepancies, or any other issues that require attention or need to be resolved prior to charge entry
- Query insurance verification staff regarding authorizations, benefit discrepancies, and other concerns that impact claim submission
- Consistently communicate with therapy management regarding any claims issues, trends, or concerns
- Utilize and update training materials and resources as payer and OrthoGeorgia polices evolve
- Consistently check and respond to voicemails and emails
- Assist with patient inquires regarding claims and payments (i.e. payment collections, status of claims, etc.)
- Coordinate with other support staff to provide necessary coverage for office opening/closing and lunch coverage at facilities. All staff works collectively to ensure proper coverage particularly during staff shortages
- Serve as second back-up for the front desk inclusive of patient check-in, answering phone calls, responding to voicemails, scheduling, cancelling and rescheduling appointments, addressing patient questions and concerns, collecting patient’s financial responsibility for items and services, balancing time of service payment collection by day’s end, etc. This is generally only for lunch coverage and opening/closing office during short staffing
- Complete other office duties included, but not exclusively limited to updating patient information in patient’s chart, answering patients’ calls regarding benefits and claims, transferring patients to necessary departments, and attending staff meetings and training sessions
- Work closely with all staff members with open lines of communication and respond timely to inquiries regarding any and all issues to create a smooth workflow
- Maintain OrthoGeorgia performance standards specific to Charge Poster position
*The list above includes all major duties and responsibilities. However, there may be other duties assigned to the employee occupying this position as determined by management and clinic needs/demands.
Company DescriptionValue Statements:• Team Player: We work together to promote a sense of pride and belonging by recognizing the importance of effective communication, cooperation, and commitment to a positive relationship with each other.
• Continuous Improvement: We strive for excellence through training, innovations and resourcefulness.
• Responsiveness: We empower our employees to provide exceptional customer service in a timely and efficient manner.
• Integrity: We demonstrate accountability through professionalism, trust and a strong work ethic.
• Individual Worth: We respect everyone, honor and encourage diversity and promote opportunity for growth.Company DescriptionValue Statements:\r
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• Team Player: We work together to promote a sense of pride and belonging by recognizing the importance of effective communication, cooperation, and commitment to a positive relationship with each other.\r
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• Continuous Improvement: We strive for excellence through training, innovations and resourcefulness.\r
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• Responsiveness: We empower our employees to provide exceptional customer service in a timely and efficient manner.\r
\r
• Integrity: We demonstrate accountability through professionalism, trust and a strong work ethic.\r
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• Individual Worth: We respect everyone, honor and encourage diversity and promote opportunity for growth.
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