Patient Account Rep

Position Purpose
To provide effective billing, problem solving and maintenance of financial computer records for all patients. Responsible for maintaining patient accounts from billing to collection. The incumbent follows protocol as it pertains to their particular clinic setting.
Scope

Essential Job Duties
1. Collections:
Bills patients' insurance companies both primary and secondary. Makes and answers daily calls, re-bills insurance companies, collects past due amounts, deals with patient concerns / complaints, sets up budget plans, processes financial assistance, and explains how insurance companies processed claims. Inputs credit card payments from patients by phone or in person and bills secondary insurance as contracted. Works daily work files to keep A/R Days, 120 Days Plus, and Bad Debt within Intermountain Goals. Performs the outlined code practice as assigned. Performs insurance and co-pay follow up. Makes adjustments to accounts and performs charge corrections.
2. Insurance Processing:
Verifies insurance eligibility if appropriate. Submits claims and data to insurance carriers. Verifies claim acceptance or rejection from carriers and makes appropriate adjustments. Works appeals and denials with insurance companies.
3. Reports:
Prepares and generates reports as appropriate. Works edit lists daily/weekly.
4. Data/Output Management:
Manages AR Days, 120 Days, and Bad Debt numbers. Works with leadership to improve efficiency and reduce waste.
5. Account Research/Patient Education:
Assists patients with difficult billing issues and researches patient accounts, bank reconciliation, etc. as applicable.
6. Quality Improvement:
Actively participates in quality improvement initiatives (i. e. CQI, TQM, Lean, 100% participation, etc.).
7. Productivity:
Maintains Intermountain productivity standards as measured by monthly productivity reports and average monthly accounts per day.
Minimum Requirements
Demonstrated effective communication and interpersonal relation skills.
Demonstrated computer experience using word processing and data entry software.
Demonstrated ability to type 30 wpm, know 10 key by touch.
Demonstrated basic coding knowledge.
Demonstrated critical thinking and reasoning skills.
Demonstrated customer service skills
Demonstrated knowledge use of spreadsheets
Physical Requirements
Interact with others requiring the employee to communicate information.
Operate computers and other office equipment requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Preferred Qualifications
Collections experience in the medical setting.
Hospital/Physician office experience involving use/knowledge of medical terminology.