Patient Account Representative
3 days ago
We are seeking a highly skilled Patient Account Representative to join our team at CHI Health Clinic. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely payment posting, as well as providing exceptional customer service to our patients.
Key Responsibilities- Review and post payments and write-offs from insurance and patients
- Review Explanation of Benefits (EOBs)/Electronic Remittance Advice (ERAs), payments, adjustments, insurance contracts, and contracting system
- Post and track electronic funds transfer (EFT) information and validate EFTs for accuracy
- Follow write-off approval protocols for non-routine adjustments
- Manually post non-electronic activities, including payments, adjustments, and zero payment denials
- Complete daily posting log and quarterly cash handling audits and reports findings to Supervisor/Manager
- Identify and research unusual, complex, or escalated issues and apply problem-solving and critical thinking skills to resolve issues within the scope of position authority or to escalate following established procedures
- Knowledge of debits and credits, including how to interpret and process electronic remittance advices
- Knowledge of medical insurance, payer contract, CPT, and ICD codes
- Ability to understand and apply government/commercial insurance reimbursement terms, contractual and/or other adjustments, and remittance advice details
- Ability to enter data in accordance with established standards of timeliness, accuracy, and productivity
- Ability to troubleshoot, understand, and/or adapt moderately complex oral and/or written instructions/guidelines to diverse or dissimilar situations
- Ability to maintain confidentiality of medical records and use discretion with confidential data and sensitive information
- Ability to demonstrate attention to detail and critical thinking skills within the context of the assigned function, with a commitment to accuracy
- Ability to effectively prioritize and execute tasks while under pressure
- Ability to demonstrate excellent customer service skills, including professional telephone interactions
- Ability to read, understand, and communicate in English sufficient to perform the duties of the position
- Ability to establish and maintain effective working relationships as required by the duties of the position
- Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
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