Patient Account Representative

Harris Computer; New Mexico; On-site; USD 36,000 - 52,000; Full time

Job summary

Harris Computer is seeking a billing professional to manage work queues, aging lists, and claims correspondence to ensure timely payments. You will verify data accuracy, handle denied claims, and resubmit or appeal as needed.

Responsibilities include following up on billing records, maintaining documents, handling calls, ensuring confidentiality, and upholding our mission and values while performing additional duties as assigned.

Responsibilities

• 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 to resolve discrepancies; resubmits or files appeal for reconsideration.
• Reviews aging accounts to collect amounts due or initiates escalation for collections per guidelines.
• Notes follow-up on billing records and maintains supporting documents and notes; verifies remittances meet contractual obligations.
• Audits and resolves discrepancies on patient accounts; reviews accounts for non-covered or out-of-network procedures and refers adjustments as needed.
• Receives phone calls; answers inquiries and resolves patient account questions; contacts patients for information.
• Requires regular and prompt attendance.
• Maintains and protects confidentiality of patient, proprietary, and employee information.
• Manages customer/client interactions professionally; responds to service requests and fulfills commitments.
• Demonstrates company philosophy, mission, and values in department processes and environment.
• Performs other duties as assigned.

Job description

Essential Functions

• 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.