Patient Account Representative
2 weeks ago
The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This role requires a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment.
Key Responsibilities- Researches each account using company patient accounting applications and internet resources that are made available.
- Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.
- Problem solves issues and creates resolution that will bring in revenue eliminating re-work.
- Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues.
- Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection.
- Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.
- Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies.
- Intermediate skill in Microsoft Office (Word, Excel).
- Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently.
- Ability to communicate in a clear and professional manner.
- Strong interpersonal skills.
- Above average analytical and critical thinking skills.
- Ability to make sound decisions.
- Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors.
- Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims.
- Intermediate understanding of EOB.
- Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms.
- Ability to problem solve, prioritize duties and follow-through completely with assigned tasks.
- High School diploma or equivalent. Some college coursework in business administration or accounting preferred.
- 1-4 years medical claims and/or hospital collections experience.
- Minimum typing requirement of 45 wpm.
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Patient Account Specialist
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Frisco, Texas, United States Conifer Health Solutions Full timeJob SummaryThe Patient Account Representative is responsible for working accounts to ensure timely resolution. This role requires a solid understanding of the Revenue Cycle, from patient access to Patient Financial Services procedures and policies. The ideal candidate will have basic knowledge of Commercial, Managed Care, Medicare, and Medicaid insurance, as...
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Patient Advocate Representative
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Account Representative
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Patient Advocate Representative
4 weeks ago
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Patient Service Center Representative II
2 days ago
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Insurance Account Representative
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Patient Advocate Representative
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Insurance Account Representative
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Patient Service Center Representative II
2 days ago
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Patient Access Representative
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Insurance Account Representative
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Insurance Account Representative
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Account Specialist
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Patient Access Representative
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Patient Access Representative
1 month ago
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Patient Access Coordinator
1 month ago
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Patient Access Coordinator
4 weeks ago
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Patient Access Coordinator
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Patient Access Coordinator
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Senior Tax Accountant
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