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Essential FunctionsReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
Job Duties
Works out of a Workqueue
Must have Medicare / Medicaid billing experience
Must have patient collections experience
Must have relative and current experience with commercial and all other payers billing
Answer all incoming phone calls from patients regarding billing and collections
Research patient accounts for adjudication and to answer any concerns
Print / Submit medical records for payment of insurance claims (including colored photos)
Send written appeals to insurance companies
Mail secondary insurance claims
Print Explanation of Benefits (EOBs) to submit with secondary claims
Make additional adjustments on accounts to reflect the Explanation of Benefits
Mail out collections letters printed by supervisor on a monthly basis
Assist in giving surgery quotes to patients that have no insurance coverage
Process patient and insurance refunds as necessary
Recommend bad debt accounts to Manager
All other job duties assigned by Supervisor
Competencies
Serving Others
Integrity
Respect
Leadership
Accountability
Action Oriented
Team Oriented
Professionalism
Continual Learning
Informing
Supervisory ExperienceThis position has no supervisory responsibilities.
Work EnvironmentThis is a clerical job in a healthcare clinical setting. The Patient Account Representative - Collections will primarily work in an office setting but may be required to walk to other areas of the clinic and may be exposed to contagious illnesses due to patient interactions.
Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand, walk; sit; use hands to finger, handle, or feel objects, tools of controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk of hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.
Position Type and Expected Hours of WorkThis is a full-time position working primarily daytime hours Monday through Friday; however, some evening and weekend work may be necessary on occasion.
Required Education And ExperienceHigh School Diploma or equivalent required.
Customer service experience and basic computer skills required, preferably in a windows environment with electronic medical records software.
Preferred Education And ExperienceMedicare and Medicaid claims processing knowledge
Medical Terminology Or Other Previous Medical Office Experience DesirableKnowledge of Ophthalmic terminology
Pre-certification experience
Continuing education
AAP/EEO StatementWe are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Other DutiesPlease note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Introduction: My name is Greg Kuvalis, I am a witty, spotless, beautiful, charming, delightful, thankful, beautiful person who loves writing and wants to share my knowledge and understanding with you.
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