Job Details

JOB DESCRIPTION:
Under direct supervision, the Patient Account Representative is responsible for processing insurance and patient payments for their assigned states, either manually or electronically. The position is responsible for balancing the batches against the daily deposits and maintaining daily production reports. The Patient Account Representative carries out his/her duties by adhering to the highest standards of ethical and moral conduct, has good attendance and punctuality, and acts in the best interest of TeamHealth.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for processing payments for insurance companies and patients for their assigned regions either electronically or manually.
• Responsible for posting payment batches including denials within established timeframe and balancing the batches against daily deposits.
• Maintains knowledge of coordination of benefits requirements and processes.
• Maintains knowledge of insurance rejection/denial processing and appropriately posts information for collection and followup activity.
• Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.
• Demonstrates ongoing enthusiasm and commitment to the work assigned.
• Process payments and denials within established productivity and quality standards.
• Notify management of payer denial and payment trends, system issues, and workflow issues or enhancement opportunities.

• Knowledge, skills, and abilities necessary for adequate job performance can be obtained through approximately 2+ years experience with payment posting within a multifacility environment and experience with electronic deposit and posting processes.
• Billing experience or graduation from vocational medical billing course helpful.
• Demonstrated success working in a team environment focused on meeting organization goals and objectives.
• Experience providing visible participation and support of major change initiative preferred.
• Knowledge of basic math and the ability to perform math functions in units of American currency.
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
• Ability to review documents for accuracy.
• Ability to determine priorities.
• Ability to coordinate schedule and information.
• Ability to work well under pressure.
• Tact and patience when dealing with individuals at all levels, both within and outside of the company.
• Commitment to TeamHealth values.
• Ability to communicate effectively orally, in person, and on the telephone; and in writing to individuals at all levels, both within and outside of the company.
• Knowledge of coordination of benefits requirements and processes.
• Knowledge of cash posting regulations and guidelines.
• Knowledge of insurance rejection/denial processing and appropriately posts information for collection and followup activity.
• Ability to multi-task, set priorities, and follow through without direct supervision.
• Ability to type efficiently and accurately (minimum of 45 words per minute) including 10-key.
• Ability to operate a computer efficiently and accurately.
• Ability to use the internet.
• Ability to work well in a team environment and be flexible in a problem-solving environment.

• Good Attendance.
• Work at a desk, utilizing a computer.
• Communicate by telephone.
• Operation of a PC.