Resurgens Orthopaedics
Patient Accounts Representative- Ancillary
Resurgens Orthopaedics, Atlanta, Georgia, United States, 30383
Patient Accounts Representative- Ancillary
Ensures that all ancillary service denials are processed within the time frame defined by the payer.
Responsibilities
Communicate with payers and patients for denial resolution.
Follow up on denials with a strong emphasis on payer appeal guidelines.
Identify and communicate A/R denial trends to the AR Manager.
Resolve claim holds prior to claim submission.
Complete zero pay reports.
Work insurance overpayments and patient refunds.
Answer billing and payment related questions.
Supervisory responsibilities: not applicable.
Qualifications
Minimum of two years’ experience working in all areas of collections in a physician practice.
Knowledge of medical terminology, ICD‑10 and CPT codes.
Detail‑oriented and able to multi‑task in a fast‑paced environment.
Strong knowledge of Microsoft Office applications and payer websites.
Athena experience is preferred.
Excellent written and oral communication skills; customer service is a major focus at Resurgens.
Physical Demands The employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. The employee may be occasionally required to climb or balance, stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment The employee may be exposed to risks of infectious diseases when interacting with patients and/or family members. The employee may also be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.
Employment Details
Seniority level: Entry level
Employment type: Full-time
Job function: Health Care Provider
Industries: Hospitals and Health Care
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Responsibilities
Communicate with payers and patients for denial resolution.
Follow up on denials with a strong emphasis on payer appeal guidelines.
Identify and communicate A/R denial trends to the AR Manager.
Resolve claim holds prior to claim submission.
Complete zero pay reports.
Work insurance overpayments and patient refunds.
Answer billing and payment related questions.
Supervisory responsibilities: not applicable.
Qualifications
Minimum of two years’ experience working in all areas of collections in a physician practice.
Knowledge of medical terminology, ICD‑10 and CPT codes.
Detail‑oriented and able to multi‑task in a fast‑paced environment.
Strong knowledge of Microsoft Office applications and payer websites.
Athena experience is preferred.
Excellent written and oral communication skills; customer service is a major focus at Resurgens.
Physical Demands The employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. The employee may be occasionally required to climb or balance, stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment The employee may be exposed to risks of infectious diseases when interacting with patients and/or family members. The employee may also be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.
Employment Details
Seniority level: Entry level
Employment type: Full-time
Job function: Health Care Provider
Industries: Hospitals and Health Care
#J-18808-Ljbffr