Patient Account Representative

3 days ago


MagstattleBas, Grand Est, United States Chi Full time
Job Summary

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
Requirements
  • 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
Preferred Qualifications

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