Patient Account Representative
Location
United States
Posted
26 days ago
Salary
Not specified
Seniority
Senior
Job Description
Job Requirements
- Three years physician billing experience, preferably in a large orthopedic physician practice.
- Knowledge of EMR (Electronic Medical Record) (athenahealth preferred).
- Ability to critically think through next steps on at risk accounts and resolve with optimal outcome.
- Ability to prioritize workload for maximum benefit on aging accounts and to ensure that accounts do not age out beyond timely filing limits.
- An ability to identify upstream blockers, prioritize solutions and communicate effectively.
- Excellent communication and influencing skills; proven experience of influencing other teams/groups where their support is critical to success.
- In-depth knowledge of CPT-4, ICD-10 and HCPCS coding, along with CCI edits.
- Must have a comprehensive understanding of insurance pre-certification requirements, contract benefits, and medical terminology.
- Managed care knowledge with the ability to differentiate between insurance plans such as Preferred Provider Organization (PPO), Point of Service (POS), Health Maintenance Organization (HMO), etc.
- Ability to effectively communicate with physicians, clinic staff, patients, and co-workers consistent with a customer service focus and application of positive language principles.
- In depth knowledge of third-party payer reimbursement policies and procedures.
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