Patient Account Representative I at McLaren… · Grand…

Position Summary:

Under general direction, the Patient Accounting Representative I is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in customer service, collections, cash posting, billing, etc. as assigned by CBO Management. Patient Accounting Representative I is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

Essential Functions and Responsibilities as Assigned:

• Performs assigned patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
• Completes all assigned tasks and responsibilities of Patient Accounting Representative I accurately and in a timely manner.
• Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
• Processes, researches, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters.
• Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.
• Reviews insurance coverage, payer requirements, claim status, account balances, denials, edits, and other account information as needed to support billing, reimbursement, and compliance requirements.
• Completes data entry, documentation, scanning, indexing, reporting, reconciliation, and other administrative tasks necessary to maintain accurate patient accounting records.

Qualifications:

Required:

• High School Diploma or GED
• 1 year experience in Finance/Accounting, Customer Service or Healthcare

Preferred:

· Associate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience.

· Working knowledge of CPT, HCPCS, and ICD-10