Patient Account Representative

10 hours ago


Franklin, Tennessee, United States Williamson Health Full time
Job Summary

Williamson Health is seeking a highly skilled Patient Account Representative to join our team. As a Patient Account Representative, you will play a critical role in maximizing the full payment potential of each claim from all insurance carriers in a timely and accurate manner.

Key Responsibilities
  • Process all payer accounts assigned by system daily using SSI Electronic software
  • Process all payer paper claims when necessary
  • Compare SSI electronic claim against Meditech claim when dealing with all carrier questions regarding claim submitted and work on resolving discrepancies to prevent denial
  • Analyze EOBs and remittances for secondary insurance filing and to determine appropriate patient liability or secondary payer amount
  • Utilize Outlook to communicate denials with various departments and ensure timely response/resolution to denials
  • Complete review of assigned accounts utilizing ATB (current account balance) reports and/or Collector Desktop list as needed for account processing in a time frame that is consistent with peers
  • Converse with all insurance payers and document all discussions in Meditech regarding unpaid claims
  • Answer patient calls regarding billing and account balances
  • Re-queue claim forms and itemized bills for all payers as needed after audit corrections have been completed
  • Handle and prioritize multiple tasks
Requirements
  • High school graduate or equivalent
  • Hospital or physician billing experience
  • PC and calculator experience
  • Good communication skills to discuss account financials with insurance carriers and patients
Work Environment

The Patient Account Representative will work in a business office environment, requiring prolonged sitting, viewing computer screens, and using repetitive motions. A clear, understandable telephone voice is also required.

About Williamson Health

Williamson Health is a comprehensive healthcare system with a 203-bed hospital, over 40 providers at our Williamson Health Medical Group locations, and a commitment to delivering world-class, compassionate care to the residents of Williamson County and surrounding communities.



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