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Patient Accounts Representative

4 months ago

Spring, United States Harris County ESD 11 Full time

The Patient Accounts Representative, under the direction of the Patient Account Manager and Patient Account Supervisor is responsible for all insurance follow-up specific to the accounts they are assigned and meeting productivity expectations.

**ESSENTIAL **SKILLS**:

- Adheres to all agency policies and procedures.
- Maintain appropriate physical and mental health required to perform the requirements of this job.
- Regular and timely physical attendance during assigned work hours.
- Ensure confidentiality of medical and all other discretionary information.
- Work to ensure a positive environment through careful and critical communication with all levels within the organization.
- On-call and/or overtime work required in emergencies and at other times as directed or assigned.
- Ensure confidentiality of medical and all other discretionary information.
- Adherence to STARCARE values in all interactions.
- Take an active role to ensure gossip and hearsay are not perpetuated.
- Professionally represent HCESD11 at all times.

**RESPONSIBILITIES AND DUTIES**:

- Process and respond to all patient and insurance correspondence.
- Add or correct any billing information to the A/R system, i.e., Medicaid, Medicare number, insurance information, etc.
- Schedule any needed claims for billing.
- Process returned mail (paper and electronic).
- Send letters to patient requesting necessary information, such as supplemental insurance information, Medicare explanation of benefits, etc.
- Sent letters to patients requesting payments on accounts.
- Monitor and maintain the accounts receivables by processing aging reports and/or specific workflows as indicated by the collection procedures for each payer type.
- Process all denials and appeals in a timely manner
- Follow through with calls and other collection procedures as assigned.
- Document all attempts at contacting responsible parties for outstanding accounts.
- Refer accounts to Patient Account Supervisor/Manager when necessary.
- Receive incoming telephone calls regarding accounts.
- Return messages daily.
- Assist walk-in customers as needed.
- Document customer complaints regarding service or billing and refer to the Supervisor, who forwards them to the appropriate person.
- Other duties as assigned.

**WORKING CONDITIONS**:

- ENVIRONMENT:

- Typically an office environment with adequate lighting and ventilation and a normal range of temperature and noise level.
- PHYSICAL REQUIREMENTS:

- Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as viewing a computer and extensive reading. Involves sitting most of the time but may involve walking or standing for brief periods of time.

**MINIMUM REQUIREMENTS**:

- High School Diploma or GED
- At least three (3) years of experience in data entry and medical billing
- Knowledge of medical terminology
- Knowledge of medical insurance claim filing processes
- Ability to use 10-key by touch and type 40 wpm.
- Experience in the use of personal computers
- At least (1) year of previous office experience in a structured environment
- Effective communication skills
- Strong customer service skills
- Strong ability to multi-task and work well under pressure with the ability to perform multiple tasks simultaneously with a high degree of accuracy
- Must not have been excluded by the OIG to Participate in Federally Funded Health Care Programs

**PREFERRED REQUIREMENTS**:

- Experience in Ambulance ICD-10 coding
- Knowledge of Ambulance Medicare policies and procedures
- HCESD11 is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, HCESD11 will provide reasonable accommodations to qualified individuals with disabilities and encourages both prospective and current employees to discuss potential accommodations with the employer._
- Furthermore, HCESD11 has reviewed this job description to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, _skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. This document does not represent a contract of employment, and HCESD11 reserves the right to change this position description and/or assign tasks for the employee to perform, as HCESD11 may deem appropriate._