EMS Patient Account Representative

Overview

EMS Patient Account Representative (Bilingual - Preferred)

The EMS Patient Account Representative is responsible for working directly with the patients and their health insurance to resolve open balances. This could include but not limited : utilizing payer portals to check claim status, updating patients' insurance policy, reviewing / updating the ICD-10 code listed, working CMS1500, talking to attorneys and processing payments.

All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role.

Responsibilities

Responsibilities of the EMS Patient Account Representative

• Places and receives calls regarding billing insurance questions and other patient service activities.
• Process accounts according to the action required to resolve account balances.
• Comfortable communicating with any caller including customers, agencies, facilities, and hospitals.
• Employ one-step resolution practices for clients and patients through open lines of communication.
• Research patient accounts to verify all health insurance coverages. Audit patient accounts to verify proper billing process was followed.
• Screen and professionally address emails, faxes, and other correspondence including mail.
• Ensure accuracy in data entry and consistent attention to detail.
• Collect outstanding balances as well as identify, address, and resolve account discrepancies while following company policy and procedures as well as billing policies and procedures.
• Demonstrates knowledge and compliance of insurance, local, state, and federal billing.
• Ability to complete tasks efficiently both individually and in a group environment.
• Handle assigned correspondence fulfilling any other duties as assigned by managerial staff.
• Must be able to scan and input information from hospital faxes to update accounts to be billed.
• Must be able to bill insurance by paper claims and follow all guidelines by individual payors.
• Must be able to review patient mail and attach documents to patient accounts with all verifiable information.

Qualifications

Qualifications of the EMS Patient Account Representative

Computer and Office Qualifications of the EMS Patient Account Representative

Salary or Wage Range

USD $19.00 - USD $23.00 / Hr. rates offered based on years of experience