I.
POSITION
a.
The Patient Account Representative shall be responsible for the timely and accurate submission of claims to the responsible payer for services provided; obtaining necessary documentation to support claims; evaluation of payments received to ensure appropriate payment; timely follow-up on claims not paid; and management of accounts receivable.
II.
QUALIFICATIONS
a.
Education/Training:
* High school diploma or equivalent; supplemented with one year of medical
billing experience in a health care organization.
Medical billing or medical coding courses helpful.
b.
Skill(s):
* Analytical—the individual synthesizes complex or diverse information.
* Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully
* Oral communication—the individual speaks clearly and persuasively in positive or negative situations.
* Quality management—the individual looks for ways to improve and promote quality and demonstrates accuracy and thoroughness.
* Judgment—the individual displays willingness to make decisions, exhibits sound and accurate judgment and makes timely decisions.
* Planning/organizing—the individual prioritizes and plans work activities, uses time efficiently and develops realistic action plans.
* Safety and security—the individual actively promotes and personally observes safety and security procedures and uses equipment and materials properly.
III.
STANDARD REQUIREMENTS
a.
Supports the Mission, Vision and Standards of Behavior at Appleton Area Health
b.
Is knowledgeable of patient rights and ensures an atmosphere which allows for the privacy, dignity, and well-being of all patients in a safe, secure environment.
c.
Supports and cooperates with specific procedures and programs for:
* Safety, including universal precautions and safe work practices, established fire/safety/disaster plans, risk management, and security, report and/or correct unsafe working conditions, equipment repair and maintenance needs.
* Confidentiality of all data, including patient, employee, and operations data.
* Quality assurance and compliance with all regulatory requirements.
* Compliance with current law and policy to provide a work environment free from sexual/ harassment and all illegal and discriminatory behavior.
d.
Supports and participates in common teamwork:
* Cooperates and works together with all co-workers; plan and complete job duties with minimal supervisory direction including appropriate judgment.
* Uses tactful, appropriate communications in sensitive and emotional situations.
* Follows up as appropriate with supervisor, co-workers or patients regarding reported complaints, problems, and concerns.
* Promotes positive public relations with patients, family members and guests.
* Completes requirements for in-service training, acceptable attendance, uniform dress codes including personal hygiene, and other work duties as assigned.
IV.
ESSENTIAL FUNCTIONS
a.
Processes necessary insurance forms in an accurate, timely and efficient manner.
b.
Contacts third party payers within payer’s time frame by telephone or online that have failed to make appropriate payments with follow up correspondence.
c.
Respond to inquiries concerning account balances, third party payments, etc.
, from patients, relatives and/or third-party payers in a timely manner.
d.
Obtains and adheres to third party payer administrative requirements (prior authorization, re-certification, etc.
) as needed.
e.
Routinely review accounts receivable aging reports and date-of-service histories for payment activity.
f.
Responsible for a variety of office/clerical tasks relating to medical billing including data entry.
g.
Prior authorizations.
h.
All other duties as assigned by supervisor.
Job Type: Full-time
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Disability insurance
* Employee assistance program
* Employee discount
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday
Work setting:
* Office
Ability to commute/relocate:
* Appleton, MN 56208: Reliably commute or planning to relocate before starting work (Required)
Work Location: In person
Whatsapp
