Account / Collections / Representative

Job Description :

Responsible for total patient account management to include billing, collections and reconciliation of patient accounts with Crime Victim compensation. Responsible for total-account-management to ensure charity allowances and / or other coverage is applied, as appropriate. These accounts are the representative's responsibility from discharge until the account is reconciled as per payer contract terms and conditions and / or regulations.

Required Skills :

1. Effective written and verbal communication skills required.

2. Analytical and problem-solving skills required.

3. Familiar with computerized patient accounting systems preferred.

4. Experience in medical management computer software preferred.

5. Must have the ability to accurately enter data, describing appropriate follow-up activity.

6. Knowledge of Medicare, Medicaid, and other third party billing requirements preferred.

7. Bilingual English / Spanish preferred.

8. Basic computer literacy (Excel preferred) and keyboarding skills.

Required Experience :

A. Work Experience :

One year related work experience in a hospital, physician or medical insurance office required. One year experience in medical / hospital billing and collections preferred.

• Account management that includes billing, collections, and reconciliation of the patient account
• Review claims and is familiar with CPT, HCPCS, and what an EOB / ERA is
• Claim correction and appeals for denied claims
• Works with insured and insurance companies to find a resolution on outstanding accounts
• Claim resubmission / rebill

B. License / Registration / Certification :

Certified Healthcare Access Associate (CHAA) preferred.

C. Education and Training :

High school diploma or equivalent. Associate Degree preferred.