Patient Account Representative Professional - Requisition #791745

Oaklawn Hospital

Marshall, MI

Full Time

Entry Level

29 days ago

Job Description

About the Role

The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and “status” of claims to ensure timely and appropriate processing and payment. The role involves maintaining accurate account histories, reviewing and working denials, mail, returns, rejections, appeals, refunds, and requests for additional information, all within an office environment.

Key Responsibilities

Processes billing daily, reviewing bills for correctness and completeness prior to submission.
Maintains a clear, concise, and complete history on each account according to established procedure.
Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
Understands and performs follow-up processes for accounts on a daily basis and works accounts according to established procedure.

Requirements

18 years of age.
Six (6) months previous insurance billing experience.
Knowledge of third-party billing and claims processing.
Knowledge of medical terminology.
Computer experience and computer skills, including keyboarding.
Knowledge of ICD-10, CPT Coding and previous experience in a health care setting preferred.
Need excellent verbal communication, interpersonal, and critical thinking skills.
Ability to adapt to frequent change.