Patient Account Representative

Job title: Patient Account Representative

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.