ACCOUNT REPRESENTATIVE

				Overview:

Complete billing process of all individual patient accounts for all Clients contracting services with Professional Billing Services.  Payments, actual insurance claim submission, account follow-up for payment, collection of self-pay receivables, and referrals to bad debt. 

* Position Type: Full-Time 
* Hours: 08:00AM - 04:30PM
* Weekends: N/A

Responsibilities:

* Insures the accuracy and validity of the demographic and insurance information.

* Post insurance and/or personal payments as well as adjustments as directed and indicated on EOB's, balancing input amounts against the control totals for the individual accounts upon completion of entry.

* Processes and complete daily deposits prior to 2:00 pm daily.

* Review and process all health insurance claims received daily. 

* Provide insurance forms to patients when requested. 

* Researches unpaid Insurance claims and follow-up for reasons of non-payment. 

* Establish payment arrangements in line with the guidelines established.

* Respond to patient inquires made by telephone or in writing.

* Review credit balances on accounts and take appropriate action including initiating refunds, correcting adjustments or transferring balance to correct account.

* Research and correct edits or errors in claim scrubber system.

* Respond to Client inquiries concerning accounts via telephone or e-mail.

* Demonstrate a professional behavior and provide Excellent Customer Service at all times. 

* Performs other duties as assigned.

Qualifications:

Education:

* High school graduate or its equivalency is required.

Experience:

* Minimum of one (1) year experience in billing and collections routines, insurance claims processing, and data entry preferred.
* One (1) year experience working with physicians and/or patients on an ongoing basis or its equivalency is preferred.
* Minimum of one (1) years of experience or its equivalency with personal computers.
* Minimum of one (1) year of telephone collection experience as a medical debt collector is preferred.

Other Knowledge/Skills/Abilities:

* Strong communication skills are required
* Understanding of CPT, ICD-9 or ICD-10 coding, and Medical terminology preferred. 
* Understanding of insurance forms UB04, HCFA 1500 and Medicaid forms.
* Understand and interpret Explanation of Benefits (EOB's).
* Required to use 10-key numeric pad.
* Capable of typing 30-40 wpm preferred.
* Limited physical requirements, primarily sedentary. Will occasionally have to lift small boxes weighing up to 50 lbs.
			

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Memorial Health System