Patient Accounts Insurance Representative

Sign-on Bonus!

The responsibilities of this job include, but are not limited to, the following:

• Reviewing processed claims to ensure proper payments received according to the payers' contract;
• Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment;
• Verifying eligibility, benefits, plan type, patient responsibility and insurance payments;
• Correcting registration errors on patients' accounts;
• Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts;
• Verifying that claims are filed according to the contracted agreement;
• Effectively communicating insurance trends or issues to the appropriate persons, including but not limited to Patient Satisfaction Specialist (PSS), Team Leads, Supervisor, and the contracting department;
• Maintaining low accounts receivable days for assigned insurances;
• Maintaining the daily work flow goals established for the Patient Account Insurance Representative department;
• Following departmental policies and procedures;
• Answering phone calls to provide customer service to patients, insurance representatives, center employees, and the Administrative Offices;
• Resolving and responding to account inquiries from patients, insurance representatives, center employees, and all other Administrative Office staff as necessary and in a timely manner;
• Processing patients' payments and established payment plans;
• Establishing and maintaining a working relationship with payer representatives to ensure proper claims filing and insurance payments;
• Keeping informed of all changes relating to insurance policies and filing procedures, according to contracted agreements.

Minimum education and professional requirements include, but are not limited to, the following:

• Employee must be 18 years of age or older;
• High school graduate or equivalent;
• Knowledge of general insurance policies;
• Microsoft Word, Excel, and Outlook experience (required);
• Certified Professional Coder [CPC] or Certified Professional Coder Apprentice [CPC-A](preferred);
• Three years of experience working in the healthcare field, preferably in a medical billing department (preferred);
• Excellent analytical, written, and verbal communication skills;
• Ability to prioritize, organize, and multi-task in a timely manner;
• Knowledge of Microsoft Word, Outlook, and Excel;
• Minimum typing experience;
• Must be able to use phone system;
• Must be able to sit for long period of time.