FULL TIME

Position summary: The account representative is responsible for filing and follow-up of claims, working past due accounts, posting payments and generating patient statements.

EDUCATION

• High school diploma or its equivalent.
• Medical terminology and coding experience helpful

EXPERIENCE

• Medical coding and billing experience preferred but not required.

POSITION RESPONSIBILITIES:

• Verify claims for accurate information.
• Code claims with the appropriate CPT, ICD-9 and HCPCS codes.
• Enter charges and payments on a timely basis.
• Submit charges and payments electronically through clearinghouse, or on paper to payors daily.
• Follow-up on claims status as to assure that claims are being paid timely.
• Work internal collection accounts and work with outside collection agencies.
• Review and make daily bank deposits.
• Manage and generate patient statement cycle.
• Learn and maintain knowledge of RHC billing guidelines, Medicare and Medicaid billing guidelines.
• Work with the Clinic Manager, Administration, and any others to correct problems as they may arise with claim submission.
• Work to maintain a good public image of the Clinic when taking phone calls from patients and family members about their accounts.
• Initiate and receive follow-up phone calls with insurance companies and patients regarding accounts, Medicare, and Medicaid.
• Must be able to balance daily and monthly reports.Essential skills and experience:
• Must have the ability to type and use appropriate office equipment and computers.
• Must have the ability to read and interpret documents such as insurance forms and components of medical charts.
• Must have the ability to write routine reports and correspondence.