Patient Account Coordinator

4 days ago


San Antonio, Texas, United States Urology San Antonio Full time
Job Summary

We are seeking a detail-oriented and knowledgeable Patient Account Representative to join our team at Urology San Antonio. The successful candidate will be responsible for liaising with medical insurance providers to process claims in a timely and accurate manner, resolving payment issues, and assisting patients in understanding insurance claims.

Key Responsibilities
  • Work with insurance companies to determine benefits for procedures, surgeries, and clinic services to estimate patients' financial responsibility.
  • Analyze and understand written communication from insurance companies, including explanation of benefits, correspondence, and requests for additional information to process claims in a timely and accurate manner.
  • Contact patients and collect prepayments and/or outstanding balances.
  • Process patient payments and refunds.
  • Identify problem accounts with payers by investigating, analyzing, and correcting errors.
  • Conduct follow-up on outstanding accounts by calling insurance companies or utilizing payer web portals.
  • Properly document detail notes on every account preparing for the next course of action and/or resolution.
  • Research denied claims as well as underpayments from third-party payers and process appeals and/or claim(s) reconsiderations to insurance companies in a timely manner.
Requirements
  • High school diploma or general education degree (GED) and one (1) year related experience in a medical office or hospital setting with experience processing professional fee claims.
  • Preferred: Oncology experience, CPT-Coding/Billing, Continuing Education Coding classes, knowledge of medical terminology and office billing, knowledge of electronic medical records (EMR), patient management (PM) system(s), insurance payer portals, and clearinghouse(s).


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