Patient Account Representative

Duties:

Institutional Insurance and reimbursement expert for one or more of the following business lines: durable medical equipment.

Performs all aspects of the billing and collection processes for the individual business lines across the enterprise.

These processes include service precertification insurance coverage review and personal responsibility determination communications with patients claim submissions denial review rebilling appeals and accounts receivable management.

Utilizes skills in problem solving customer service and communications (verbal and written) in interactions with patients and internal customers to resolve a variety of account billing and payment issues for patients physicians nurses pharmacists technicians and social workers.

Interprets applies and communicates Client policies regarding financial aspects of patient care to assure optimal reimbursement for both the patient and Client.

Education:

Associate Degree in finance business or healthcare related majors and one year experience in medical pharmacy or durable medical equipment billing and collection activities Or high school diploma/GED with at least 3 years experience in medical or durable medical equipment billing and collection activities.

Qualified candidate must possess strong human relations communication problem solving and organizational skills to interact with a variety of customers and personnel both within and outside the institution.

Must be able to work independently and in a team environment.

Candidate should have experience working with Windows based software Microsoft Word Excel and the Internet.

Keyboarding experience required.

Claims management software experience desired.

Required:

Excellent Communication Skills