Patient Account Rep - TRH

Position Description Responsible for daily billing, follow-up, reviewing and working edits to insure the highest reimbursement on claims.Job Duties: Collects, reviews, updates and ensures systems and/or documentation for complete and accurate billingFollow up on claims status, investigates and resolves obstacles to prompt reimbursementCompletes data entry as needed for claim submission, client invoicing and/or patient invoicesIdentifies and reports any payer trends, denial patterns and delays to managementAdheres to state, federal and HIPAA laws and guidelines with regard to patient records and collectionsContacts patients/insurance companies to collect unpaid insurance claims.Stays informed about changes in Medicare and Medicaid.Demonstrates the ability to be flexible, organized and function well in stressful situations.Interacts with patients/families in a professional manner. Provides explanations regarding statements, insurance coverage.Treats patients/families with respect; ensures confidentiality of patient records.Maintains a good working relationship within the department and with other departments.Maintains a professional working relationship with insurance companies.Performs other duties as assigned.Ensures documentation meets current standards and policies.Create and work appeals and/or reconsiderations for insurance claims resolutionsFollow-up on insurance claims by calling or online processes to insure paymentEducation: Requires a high school diploma or GED.Training/Experience:Through understanding of Medicare, Medicaid, HMO's, PPO's private insurance companies.Ability to work in a fast-paced environment with shifting priorities and rapid changesAbility to communicate with internal and external customers in professional mannerAbility to multi-task, establish and meet deadlines, set and achieve high performance standardsAbility to identify and mitigate issues, make sound judgments and decisionsBasic knowledge of revenue cycle best practicesAbility to work independently and within teams as neededModerate knowledge of Microsoft Windows and Office applicationsSkills/Qualifications: Knowledgeable of HIPPA compliance.EMR/EHR ExperienceCustomer ServiceTime ManagementOrganizationAttention to DetailProfessionalismQuality FocusType: Full-time