Patient Account Representative

Patient Account Representative | Tulsa, OK

Reports To: Revenue Cycle Manager

Job Summary: Review and follow-up of charges billed to insurance carriers.   This includes contacting insurance companies, researching and re-filing claims, resolving patient billing problems.  Shared responsibility for answering patient and insurance calls, printing, reviewing, and mailing demand claims and statements as needed. 

Essential Functions and Responsibilities: 

• Generates and prints insurance claims, both paper and electronic.

• Files primary, secondary and tertiary insurance claims per office protocol.

• Processes requests for additional information.

• Researches, corrects, and refiles all claim denials due to incorrect or missing information.

• Follows-up on accounts where insurance payment is pending.

• Answers patient questions and inquiries regarding their accounts and follows through on requests.

• Works cooperatively with others to increase accuracy and efficiency.

• Posts all actions and maintains permanent record in patient account or other appropriate place.

• Prepare and submit account adjustments.

• Call Insurance companies, hospitals, and referring physician offices to resolve payment problems.

• Assists other departments as requested by supervisor.

• Attends meetings as required.

• Maintains strictest confidentiality.

• Work claim dashboard from eCW.

• Secure authorizations not properly obtained before services rendered.

• Research and prepare refund requests for insurance and patient reimbursement.

• Write up and file appeals to insurance as needed.

Education: 

• High school diploma or GED required.

Work Experience: 

• One year of insurance and collection experience in a health care organization.

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