Patient Accounting Representative – A/R Follow Up

Summary:

Patient accounting representatives are responsible for timely and effective resolution of unpaid accounts. They perform a variety of duties including claim editing, billing, follow up, and payment and adjustment processing in order to meet the client cash and A/R goals.

Essential Responsibilities:

• Analyzes and researches reasons for denied and underpaid claims.
• Determines and executes best approach for resolution.
• Identifies issues and trends and reports to manager.
• Maintains confidential system and payer website access.
• Follows QBS account management protocols and strategies.
• Maintains current knowledge of all relevant systems as well as federal and state billing regulations.
• Maintains current knowledge of contract terms and conditions related to claim resolution.
• Corresponds with third party payers, according to established protocols, to obtain status and payment.
• Communicates with clients, as needed, to expedite claim resolution.
• Performs any and all job related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/ R goals.