Patient Account Representative

2 months ago


Phoenix, United States Center for Orthopedic and Research Excel Full time
Job DescriptionJob Description

Benefits:

  • $18-$20
  • Competitive Health & Welfare Benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan after 6 months of service with company match (Part-time employees included)
  • Employee Assistance Program that is available 24/7 to provide support
  • Employee Appreciation Days
  • Employee Wellness Events

Minimum Qualifications:

  • Requires a minimum of two to three years of experience in billing or collections in a physician clinic or hospital environment.
  • High school diploma/GED or equivalent working knowledge preferred.
  • Knowledge of medical billing and collection policies and procedures, ICD, and CPT coding.
  • Advanced computer knowledge, including Windows-based programs.

Essential Functions

  • Provides excellent customer service in alignment with our “World Class Service” expectations by promptly answering patient inquiries, going above and beyond with follow-through actions, and always maintaining a positive demeanor while interacting with customers, both internal and external.
  • Assists patients and family members with billing and account questions including following up with insurance companies and internal departments as needed.
  • Works to resolve complaints at first contact wherever possible. Ensures all encounters are handled in a courteous, professional, and confidential manner.
  • Proactively works outstanding patient balances by contacting patients to arrange payment on outstanding accounts. Ensures patient balances are resolved promptly.
  • Analyzes account for proper claims processing and payment posting through inquiries from patients or staff.
  • Adheres to Business Office Patient Account Representative Occupancy rate standards for incoming patient phone calls.
  • Provides patients with estimated fee quotes and can explain insurance terms and regulations to assist patients in understanding their insurance benefits.
  • Verifies the accuracy and timeliness of patient demographics and billing activities and identifies problems and trends.
  • Communicates with insurance and collection agencies. Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
  • Establishes and maintains effective communication with clinics, co-workers, and other departments as required.
  • Works to ensure that all assigned reports are worked accurately and promptly.
  • Maintains account receivables, identifying potential problems through registration, charge corrections, duplicate accounts, and refunds.
  • Provides feedback to management on issues that prevent timely reimbursement from payers due to contract, provider, and insurance company or system limitations.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses?

• #1 for Orthopedic Practices

• #1 for Healthiest Healthcare Employers

• #3 for Best Healthcare Workplace Culture



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