Patient Account Representative - Remote
Other Jobs To Apply
No other job posts for this day.
<p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Job Purpose</strong></span></p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">The Patient Account Representative is responsible for collections, account follow up, billing allowance posting for the accounts assigned to them.</span></p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"> </p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Duties and Responsibilities</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Review and updates all patient and financial information accurately as given</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Verify that information is accurate as to individual or insurance company responsible for payment of bill</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Monitor all billings for accuracy, updating any that contain known errors</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Monitor Medicaid/healthy options coupons to assure services are billed within expected timeframes</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Bill all hospital services to primary insurer or patient correctly and within expected timeframe</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Follow up with insurance companies on all assigned accounts within expected timeframe</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Explain hospital regulations with regard to methods for payment of accounts and maintains complete working knowledge of insurance regulations and hospital insurance contracts</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Identify and report underpayments and denial trends</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Analyze, identify and resolve issues causing payer payment delays; Initiate appeals when necessary</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Manipulate excel spreadsheets and communicate results</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Meet and maintain daily productivity and quality standards established in departmental policies</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Act professionally, cooperatively and courteously with patients, insurance payors, co-workers, management and clients</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Perform special projects and other duties as needed by the management team</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Maintain confidentiality at all times</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Other duties as assigned</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Understand and comply with Information Security and HIPAA policies and procedures at all times</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; background-color: rgba(255, 255, 255, 1); line-height: 16px;"> </span></span></span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Qualifications</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">High School Diploma or equivalent required</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Medical Billing and Coding certification preferred, but not required</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Experience in Hospital/Facility and/or physician billing required</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">2-3 years’ experience in insurance collections, including submitting and following up on claims</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Basic knowledge of healthcare claims processing including: ICD-9/10, CPT and HCPC codes, as well as UB-04</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Working knowledge of the insurance follow-up process with understanding of the fundamental concepts in healthcare reimbursement methodologies</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Understanding of government, Medicare and Medicaid claims</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Proficiency with Microsoft Office <span style="animation: 0s ease 0s 1 normal none running none; backface-visibility: visible; background-blend-mode: normal; border-collapse: separate; border-radius: 0; box-decoration-break: slice; box-shadow: none; box-sizing: content-box; break-after: auto; break-before: auto; break-inside: auto; caption-side: top; caret-color: #222222; clear: none; clip: auto; columns: auto; column-fill: balance; column-rule-width: 0; column-rule-color: rgba(34, 34, 34, 1); column-span: none; content: normal; counter-increment: none; counter-reset: none; cursor: text; direction: ltr; display: inline; empty-cells: show; filter: none; flex: 0 1 auto; flex-flow: row; float: none; font-feature-settings: normal; font-kerning: none; font-size-adjust: none; font-synthesis: weight style small-caps; grid-area: auto / auto / auto / auto; grid-template: none; height: auto; hyphens: manual; image-rendering: auto; isolation: auto; line-break: auto; line-height: 16px; margin: 0; mask-image: none; mask-size: auto; mask-repeat: repeat; mask-origin: border-box; mask-clip: border-box; mask-composite: add; mask-mode: match-source; mask-type: luminance; max-height: none; max-width: none; min-height: 0; min-width: 0; mix-blend-mode: normal; object-fit: fill; object-position: center; opacity: 1; order: 0; outline: 0 none rgba(34, 34, 34, 1); outline-offset: 0px; overflow-wrap: break-word; overflow: visible; padding: 0; perspective: none; perspective-origin: left top; pointer-events: auto; resize: none; scroll-behavior: auto; tab-size: 8; table-layout: auto; text-align: left; text-align-last: auto; text-combine-upright: none; text-orientation: mixed; text-overflow: clip; text-shadow: none; text-underline-position: auto; white-space: pre-wrap; transform: none; transform-origin: left top; transform-style: flat; transition: all; unicode-bidi: normal; user-select: text; vertical-align: baseline; visibility: visible; width: auto; word-break: normal; writing-mode: horizontal-tb; z-index: auto; border: 0 none rgba(34, 34, 34, 1);">Suite</span> including Excel and Word</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Basic math and typing skills</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Strong interpersonal skills, ability to communicate well at all levels of the organization</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on </span><span style="margin: 0; padding: 0; user-select: text;">accurate</span><span style="margin: 0; padding: 0; user-select: text;"> and </span><span style="margin: 0; padding: 0; user-select: text;">timely</span><span style="margin: 0; padding: 0; user-select: text;"> analyses</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">High level</span><span style="margin: 0; padding: 0; user-select: text;"> of integrity and dependability with </span><span style="margin: 0; padding: 0; user-select: text;">a strong sense</span><span style="margin: 0; padding: 0; user-select: text;"> of urgency and results oriented </span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Excellent written and verbal communication skills </span><span style="margin: 0; padding: 0; user-select: text;">required</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Gracious and welcoming personality for customer service interaction</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></span></span></span></span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><strong style="font-weight: bolder;">Working Conditions</strong></span></p> <ul style="color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 14px; white-space: normal; background-color: rgba(255, 255, 255, 1);"> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"><span style="margin: 0; padding: 0; user-select: text;">Must</span><span style="margin: 0; padding: 0; user-select: text;"> </span><span style="margin: 0; padding: 0; user-select: text;">possess</span><span style="margin: 0; padding: 0; user-select: text;"> a </span><span style="margin: 0; padding: 0; user-select: text; background-position: left bottom; background-repeat: repeat-x; border-bottom: 1px solid rgba(0, 0, 0, 0);">smart-phone</span><span style="margin: 0; padding: 0; user-select: text;"> or electronic device capable of downloading applications, for multifactor authentication and security purposes.</span></span><span style="margin: 0; padding: 0; user-select: text; text-align: left; white-space: pre-wrap; line-height: 16px;"> </span></span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.</span></li> <li style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);">Work Environment: The noise level in the work environment is usually minimal.</span></li> </ul> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"> </p> <p style="margin: 0; font-size: 14px; line-height: 1.6; color: rgba(34, 34, 34, 1); font-family: 'Open Sans', Helvetica, Arial, sans-serif; white-space: normal; background-color: rgba(255, 255, 255, 1);"><span style="font-family: Montserrat; font-size: 10pt; color: rgba(0, 0, 0, 1);"><em>Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.</em></span></p>