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Role Description

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment.

• Effectively follow-up on claim submission and remittance review for insurance collections
• Create and pursue disputed balances from both government and non-government entities
• Work as part of a dynamic team and adapt to changing work assignments
• Work independently as well as closely with management and team
• Interact professionally with insurance plans, patients, physicians, attorneys, and team members
• Utilize basic computer skills to navigate various system applications
• Access payer websites and discern pertinent data to resolve accounts
• Document clear and concise notes in the patient accounting system
• Maintain department daily productivity goals while meeting quality standards
• Identify and communicate issues related to system access, payor behavior, and account workflow
• Provide support for team members that may be absent or backlogged

Qualifications

• Thorough understanding of the revenue cycle process, from patient access through Patient Financial Services
• Intermediate skill in Microsoft Office (Word, Excel)
• Ability to learn hospital systems quickly and fluently
• Good oral and written communication skills
• Strong interpersonal skills
• Above average analytical and critical thinking skills
• Ability to make sound decisions
• Full understanding of Commercial, Managed Care, Medicare, and Medicaid collections
• Familiar with terms such as HMO, PPO, IPA, and Capitation
• Intermediate understanding of EOB and hospital billing form requirements
• Ability to problem solve, prioritize duties, and follow through with assigned tasks

Requirements

• High School diploma or equivalent; some college coursework in business administration or accounting preferred
• 1-4 years medical claims and/or hospital collections experience
• Minimum typing requirement of 45 wpm

Benefits

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – minimum of 12 days per year
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits including pet insurance, legal insurance, and more
• Paid leave in accordance with Colorado’s Healthy Families and Workplaces Act for Colorado employees