Job Description & Responsibilities:
ATTENTION TO BILLING DETAIL - PATIENT ACCOUNT REP: Prepares billing and follows up on claims in a timely manner. Performs accurate and timely billing and account reviews, ensuring that accurate information has been reviewed before sending to applicable payors or state agencies. Conducts account review ensuring accurate billing information, enters and revises information as needed prior to claim being submitted. Prepares adjustment bills, rebills, reprints claims and/or other source documents. Processes failed claims in biller work file according to carrier specific requirements. Coordinates with concurrent review precert nurse and/or admitting staff on precertification requirements. Prepares daily productivity reports. CUSTOMER SERVICE - PATIENT CLAIM ISSUES: Serves as liaison between patient, employer, and carrier in resolving claim issues. Communicates with patient, employer, and carrier regarding claim status. Processes patient inquiry requests within 24 hours. Assists with Customer Service coverage duties as need arises.
Qualifications:
High School Diploma or GED (Required). Work Experience: 2 - 3 years in a structured business environment (Required). 2 - 3 years in a hospital, Physician office, or insurance environment (Preferred). Licenses and Certifications: Required Certifications/Licensures. CPAR certification or must be obtained within two years of employment.
Salary:
Depending on Experience
Contact:
Employer: Phoebe Physician Group, Inc.
Location: Albany, GA
Link: https://careers.phoebehealth.com/search/jobdetails/patient-account-representative/454e7d58-ba17-4d5d-b466-8ad1a982b203?ejd=Enabled