Patient Account Representative - Claims Follow Up/ Collections

Additional Position Requirements

• • Minimum of 2 years of hospital claims and follow up experience.
    • Or a Minimum of 2 Years of Physician claims and follow up experience. 
  • Current or Recent (within 3 years) commercial payer claims appeal experience
  • Minimum of 2 years of hospital/physician billing denials and appeal experience in account follow-up.
  • Minimum of 2 years of experience working with Managed Care payers and contracts.
  • Minimum of 2 years' experience in reconciliation of accounts including payments, adjustments, denials, and under pays.
  • Minimum of 2 years' experience in patient accounting software systems.
  • Proficient in Microsoft Excel.
  • Able to interpret manage care contracts and the ability to do discrepancy workups.
  • Proficient analytical skills to resolve complex claims.
  • Able to read explanation of benefits proficiently.
  • Must have good communication skills.
  • EPIC EHR experience
  • Proficient in scanning and understand the process of follow-up, and denials and appeals

Knowledge, Skills, Abilities, and Physical Requirements

Skill in:
Applying customer service techniques; applying billing practices; monitoring and tracking payments; reviewing accounts and making corrections and adjustments; resolving problems with accounts; establishing effective payment arrangements; performing basic mathematical computations; preparing legal documentation such as notices, liens and subpoenas; developing interpersonal relations with vendors, agencies and patients; using computers and related software applications; using office equipment such as phones, copiers, facsimiles and adding machines; communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard office equipment; stamina to remain seated for long periods of time; vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.