Patient Account Representative

2 weeks ago


Tulsa, United States Trinity Employment Specialists Full time
Job DescriptionJob Description

Patient Account Representative | Tulsa, OK

Reports To:Revenue Cycle Manager

Job Summary:Review and follow-up of charges billed to insurance carriers.This includes contacting insurance companies, researching and re-filing claims, resolving patient billing problems.Shared responsibility for answering patient and insurance calls, printing, reviewing, and mailing demand claims and statements as needed.

Essential Functions and Responsibilities:

  • Generates and prints insurance claims, both paper and electronic.
  • Files primary, secondary and tertiary insurance claims per office protocol.
  • Processes requests for additional information.
  • Researches, corrects, and refiles all claim denials due to incorrect or missing information.
  • Follows-up on accounts where insurance payment is pending.
  • Answers patient questions and inquiries regarding their accounts and follows through on requests.
  • Works cooperatively with others to increase accuracy and efficiency.
  • Posts all actions and maintains permanent record in patient account or other appropriate place.
  • Prepare and submit account adjustments.
  • Call Insurance companies, hospitals, and referring physician offices to resolve payment problems.
  • Assists other departments as requested by supervisor.
  • Attends meetings as required.
  • Maintains strictest confidentiality.
  • Work claim dashboard from eCW.
  • Verify accuracy of billing data and revise any errors
  • Secure authorizations not properly obtained before services rendered.
  • Research and prepare refund requests for insurance and patient reimbursement.
  • Write up and file appeals to insurance as needed.

Education:

  • High school diploma or GED required.

Work Experience:

  • One year of insurance and collection experience in a health care organization.

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