Patient Account Representative - Billing Inquiry (Full-Time, 40 Hours, Day Shift)

Job Responsibilities

Job Summary / Responsibilities :

Follows up on payment with insurance payers and patients on outstanding accounts.

Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner.

Identifies, posts and / or audits payments to ensure QMC has received correct / expected payment from payers in accordance with contract terms. Processes correspondence received from payers and patients.

Responds to patient and insurance inquiries promptly and courteously.

Typical Physical Demands :

Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm / hand motions and gripping of an object.

Typical Working Conditions :

Not substantially subjected to adverse environmental conditions.

Minimum Qualifications :

A. Education / Certification and Licensure :

High School diploma or equivalent.

B. Experience :

One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF / ICF, ICD-9 and DRG's. An associate's or bachelor's degree in business administration, finance, accounting or healthcare related field and / or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative.

Experience and / or background to demonstrate effective written and verbal communication skills in English.

Experience with Windows applications, such as Word, Excel, etc., with demonstrated proficiency in using a mouse and keyboard.

Experience to demonstrate knowledge of medical terminology.

Experience with computer based applications, SMS and / or EPIC systems preferred.

Equal Opportunity Employer / Disability / Vet