Patient Accounts Representative I - Claims

Summary

We are seeking a Patient Accounts Representative I for our Patient Business Services - Claims department.

This position is vital to the claims department to keep within 5-day processing to prevent filing deadline issues.

The standard and hybrid work hours are Monday - Friday, 8:00am - 5:00pm, however there is flexibility for an 8-hour shift between the hours of 6:00am and 6:00pm.

Job Duties

• Follows up on error or rejected accounts and makes proper notations (updating insurance information, using correct activity codes) in the Epic system.
• Analyzes trends, issues, and proposes appropriate action & possible solutions.
• Independently identifies areas of concern regarding the various areas of the claims process.
• Analyzes trends and issues and proposes appropriate action to resolve.
• Consistently exceeds established performance standards.
• Masters each task to ensure complete understanding.
• Manually reviews each work queue and works errors to resolution to aid in understanding of future issues.
• Maintains each work queue to review each invoice date of creation. If over 10 days out, determines why invoice is still there. If there is an issue, obtains information to bring to resolution.
• Notifies supervisor of trends and issues/problems to determine if any update or change is needed in the system.
• Performs other job-related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• No experience required.

Preferred Qualifications

• Patient Account or Coding certification.