Patient Account Representative I

Position Summary

Under general direction, the Patient Accounting Representative I is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in customer service, collections, cash posting, billing, etc. as assigned by CBO Management. Patient Accounting Representative I is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

Essential Functions

Performs assigned patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards. Completes all assigned tasks and responsibilities of Patient Accounting Representative I accurately and in a timely manner. Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.

Processes, researches, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters. Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.

Reviews insurance coverage, payer requirements, claim status, account balances, denials, edits, and other account information as needed to support billing, reimbursement, and compliance requirements. Completes data entry, documentation, scanning, indexing, reporting, reconciliation, and other administrative tasks necessary to maintain accurate patient accounting records.

Qualifications

Required: High School Diploma or GED 1 year experience in Finance/Accounting, Customer Service or Healthcare Preferred:

• Associate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience.
• Working knowledge of CPT, HCPCS, and ICD-10