Patient Account Rep - TRH | Taylor Health Care Group

Patient Account Rep - TRH

Hospital Business Office

3/27/2024

Responsible for daily billing, follow-up, reviewing and working edits to insure the highest reimbursement on claims.

Job Duties:

Collects, reviews, updates and ensures systems and/or documentation for complete and accurate billing
Follow up on claims status, investigates and resolves obstacles to prompt reimbursement
Completes data entry as needed for claim submission, client invoicing and/or patient invoices
Identifies and reports any payer trends, denial patterns and delays to management
Adheres to state, federal and HIPAA laws and guidelines with regard to patient records and collections
Contacts patients/insurance companies to collect unpaid insurance claims.
Stays informed about changes in Medicare and Medicaid.
Demonstrates the ability to be flexible, organized and function well in stressful situations.
Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage.
Treats patients/families with respect; ensures confidentiality of patient records.
Maintains a good working relationship within the department and with other departments.
Maintains a professional working relationship with insurance companies.
Performs other duties as assigned.
Ensures documentation meets current standards and policies.
Create and work appeals and/or reconsiderations for insurance claims resolutions
Follow-up on insurance claims by calling or online processes to insure payment

Education:

Requires a high school diploma or GED.

Training/Experience:

Through understanding of Medicare, Medicaid, HMO’s, PPO’s private insurance companies.
Ability to work in a fast-paced environment with shifting priorities and rapid changes
Ability to communicate with internal and external customers in professional manner
Ability to multi-task, establish and meet deadlines, set and achieve high performance standards
Ability to identify and mitigate issues, make sound judgments and decisions
Basic knowledge of revenue cycle best practices
Ability to work independently and within teams as needed
Moderate knowledge of Microsoft Windows and Office applications

Skills/Qualifications:

Type: Full-time