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Franciscan Missionaries of Our Lady Health System

Patient Account Representative 4 - Hospital

Franciscan Missionaries of Our Lady Health System, Baton Rouge, Louisiana, United States, 70801

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Patient Accounts Representative

The Patient Accounts Representative 4 performs an important function in the revenue cycle of the Health System. This role is production based and works an assigned queue to coordinate with patients, co-workers, and external agencies to ensure the prompt payment and/or reimbursement of hospital and professional charges. The Patient Accounts Representative is responsible for the customer service, billing, and collection functions in the Business Office. Key tasks include: Reviewing accounts on EPIC system Providing information requested Applying critical thinking to resolve issues between balances and/or credits belonging to managed care vs the patient This role is responsible for collections on delinquent insurance and patient balances and for working credit balance reports, posting payments and adjustments, and filing claims and appeals denials with managed care companies. Must meet minimum performance and quality measures. This role leverages years of experience to handle more complex scenarios and provides SME support to other team members, as well as collaborating with leadership to identify opportunities for improvements.