Patient Account Representative

Harris Computer; Nevada (IA); On-site; USD 42,000 - 60,000; Full time

Job summary

Harris Computer is seeking a Billing Specialist to manage work queues and aging lists, ensuring accurate, timely payment of accounts. The role involves reviewing billing data, addressing denied claims, and maintaining confidentiality of patient information.

You will handle patient inquiries, escalate when needed, and work within established guidelines to uphold our service standards and department values.

Responsibilities

• Manages work queues, aging lists, and claims correspondence to secure timely payments.
• Verifies billing data completeness and corrects errors.
• Reviews denied claims to resolve discrepancies and resubmit appeals.
• Monitors aging accounts to collect outstanding balances or escalate.
• Maintains confidentiality of PHI and employee information.
• Handles patient inquiries and resolves account questions.
• Upholds department values and professional service standards.

Job description

Essential Functions

• Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
• Manages work queue, aging lists, and claims correspondence to assure accurate and timely payment of accounts.
• Verifies completeness and accuracy of billing data and revises any errors.
• Reads and interprets denied claims in order to resolve discrepancies; resubmits or files appeal for reconsideration.
• Reviews aging accounts in order to collect amounts due or initiates escalation procedures for collections, according to established guidelines.
• Notes follow-up on billing records and maintains supporting documents and notes in established files; verifies that remittances meet contractual obligations.
• Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out of network procedures and refers adjustments according to established guidelines.
• Receives telephone calls; answers inquiries and resolves patient account questions; contacts patients to obtain or relay account information.
• Requires regular and prompt attendance.
• Maintains and protects confidentiality in all aspects of patient health information, proprietary information, and employee information.
• Manages customer/client interactions in a professional manner; responds promptly to requests for service and assistance, and meets those commitments.
• Demonstrates the spirit of the philosophy, mission, and values through words and actions, and implements them into department processes, programs, and the working environment.
• Performs other duties as assigned.