Patient Accounts Representative - Hospital

Responsibilities

• Maintains and controls an assigned section of patient accounts.
• Reviews files daily and checks final amounts for accuracy and completeness, verifies and edits patient demographic and insurance information prior to claims submission.
• Ensures the accuracy of accounting for all accounts.
• Records late charges on patient accounts for appropriate logs.
• Attends in-service training, education programs and meetings as required or directed.
• Adheres to established CRHS and departmental policies, procedures and objectives for quality assurance, safety, environmental, and infection control.
• Performs other related job duties as assigned. Enters required UB92 and/or physician billing 1500 information, or other pertinent information not in the system for electronic transmission of insurance claims.
• Monitors accounts for trace follow-up to insurance company and/or employer when necessary.
• Processes and responds to correspondence from patients, insurance companies or third parties regarding insurance benefits, unpaid claims, and account balances.
• Contacts patient account guarantors by telephone or mail to secure contracts or collection of payments.
• Reviews account status for referral to outside collection agencies prior to write off.
• Ensures the effective billing for accounts queued in other web based software (eSolutions, etc.) and other billing solutions or other various billing applications.
• Serves as a back-up for the Hospital Financial Counselor/Business Office Cashier.
• Complies with all CRHS privacy policies and procedures including those implementing the HIPAA Privacy rule. Prepares and submits claims to carriers and intermediaries within 24 hours after all information is available for billing.