Patient Accounts Representative/Customer Service Full-time Job5 months ago - Medical & Healthcare - Washington, D.C. - 96 views
Job DetailsPerforms a variety of office/clerical accounting functions for the health care facility including claims processing, proper accounting for facility and professional costs, payment collection, accounting and follow-up, and associated customer service. Conducting entry, editing and submission of electronic and hardcopy healthcare claims to various payers (Government, Managed Care and Private Insurance). Participating in accounts receivable collections and payer/patient follow-up to include receipt entry, receipt balancing, payer denial review, insurance verification and appeals processing. Reviewing accounts to insure all charges are computed correctly or appropriate adjustments are made for both hospital and professional fees. Receiving and documenting in the information system patient responsible payments including co-payments and time of service charges.
Post secondary education or equivalent training in a health care or business related field is required; Associates degree preferred. Must have previous customer service experience in an office setting, preferably in a health care facility.
Computer skills sufficient to operate on-line systems and complex software with advanced functionality. Oral and written communication skills sufficient to interpret and apply policies and procedures for clarification and problem resolution. Must have knowledge of general business procedures, accounting, and third party reimbursement criteria. Knowledge of credit and collection procedures preferred.