Patient Accounts Representative

Georgia Hand Shoulder & Elbow P C•Atlanta, GA

About The Position

The Patient Accounts Representative will provide support to the billing department and revenue cycle for GHSE, GSCP. Duties/Responsibilities: Troubleshoot and problem solve accounts Posting of private and insurance payments/vouchers Completing adjustments to patient accounts Updating of patient insurance information, including memo entry for billing documentation Customer service - answer billing inquiries from patients and/or healthcare providers Submit refunds for patient or insurance over-payments to Billing Manager for review Follow collection process; includes written and verbal correspondence with patients on unpaid claims. Write protest/appeal letters to insurance companies. Rebill accounts Ability to interpret EOBs and resolve errors. Knowledge of various fee schedules for carriers. Make recommendations for process revisions or improvement initiatives under direction of the Billing Manager Provide support and assist in the resolution of patient account issues and payment plan arrangements, report to Billing Manager the same day. Create chart, enter data, insurance and post charges as necessary. Maintain HIPAA compliance. Performs other duties as assigned.

Requirements

Excellent verbal and written communication skills.
Excellent organizational skills and attention to detail.
Ability to prioritize tasks.
Ability to create and present ideas in a variety of formats.
Ability to maintain confidential records.
Proficient with Microsoft Office Suite or related software.
Three years of billing and coding experience required.
1 year of orthopedic, surgical and ASC experience.
Knowledge of worker’s compensation and Medicare reimbursement practices in an orthopedic and ASC setting.
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.

Nice To Haves

Knowledge of the philosophy, mission, leadership needs, and planning requirements of the organization preferred.

Responsibilities

Troubleshoot and problem solve accounts
Posting of private and insurance payments/vouchers
Completing adjustments to patient accounts
Updating of patient insurance information, including memo entry for billing documentation
Customer service - answer billing inquiries from patients and/or healthcare providers
Submit refunds for patient or insurance over-payments to Billing Manager for review
Follow collection process; includes written and verbal correspondence with patients on unpaid claims.
Write protest/appeal letters to insurance companies.
Rebill accounts
Ability to interpret EOBs and resolve errors.
Knowledge of various fee schedules for carriers.
Make recommendations for process revisions or improvement initiatives under direction of the Billing Manager
Provide support and assist in the resolution of patient account issues and payment plan arrangements, report to Billing Manager the same day.
Create chart, enter data, insurance and post charges as necessary.
Maintain HIPAA compliance.
Performs other duties as assigned.