Patient Account Representative - FFAM360 Heathcare
Cumming, GA 30041
About the Job
Patient Account Representative
1 day in office for training, monthly meetings in office
TEMP-to-Hire
Must Live in Georgia
Orthopedic experience preferred
Insurance follow-up to include E & M codes, outpatient, workers comp, PT, and PI (will train on PI)
ATHENA EMR
Summary
Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection procedures.
Essential Duties and Responsibilities
Timely and appropriate resolution of all assigned accounts for third party payors and/or patients with the purpose of managing account receivables balances.
Identify and communicate AR trends, denial issues or irregularity impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution.
Responsible for accurate and timely charge capture for clinic and hospital based services.
Maintains up-to-date knowledge of third-party billing and reimbursement, clinic's financial policies and industry knowledge.
Prepares and submits daily productive reports as required.
Completes annual compliance and regulatory requirements as applicable.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data.
Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; shares expertise with others.
Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.
Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity; keeps technical skills up to date.
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
C
Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests.
Written Communication - Writes clearly and informatively.
Conflict Resolution - Encourages open communications; maintains objectivity.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or general education degree (GED). Minimum 5 years of medical billing and account follow up experience.
Knowledge of ICD-10 , CPT, HCPCS and the use of modifiers preferred. Familiar with CMS 1500 /UB04 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans.
Knowledge of physician billing and /or collections. Typing speed 55 wpm and the ability to use a calculator.
1 day in office for training, monthly meetings in office
TEMP-to-Hire
Must Live in Georgia
Orthopedic experience preferred
Insurance follow-up to include E & M codes, outpatient, workers comp, PT, and PI (will train on PI)
ATHENA EMR
Summary
Responsible for a variety of medical office /clerical tasks relating to claims processing; contact patients and responsible parties to resolve past-due accounts; investigates account status and initiates collection procedures.
Essential Duties and Responsibilities
Timely and appropriate resolution of all assigned accounts for third party payors and/or patients with the purpose of managing account receivables balances.
Identify and communicate AR trends, denial issues or irregularity impacting resolution of AR or daily production workflow to supervisor and other team members and recommend resolution.
Responsible for accurate and timely charge capture for clinic and hospital based services.
Maintains up-to-date knowledge of third-party billing and reimbursement, clinic's financial policies and industry knowledge.
Prepares and submits daily productive reports as required.
Completes annual compliance and regulatory requirements as applicable.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Analytical - Synthesizes complex or diverse information; collects and researches data; uses intuition and experience to complement data.
Continuous Learning - Seeks feedback to improve performance; pursues training and development opportunities; shares expertise with others.
Job Knowledge - Competent in required job skills and knowledge; exhibits ability to learn and apply new skills; keeps abreast of current developments; requires minimal supervision; displays understanding of how job relates to others; uses resources effectively.
Use of Technology - Demonstrates required skills; adapts to new technologies; troubleshoots technological problems; uses technology to increase productivity; keeps technical skills up to date.
Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics.
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments.
Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
C
Teamwork - Balances team and individual responsibilities; exhibits objectivity and openness to others' views; gives and welcomes feedback; contributes to building a positive team spirit; puts success of team above own interests.
Written Communication - Writes clearly and informatively.
Conflict Resolution - Encourages open communications; maintains objectivity.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or general education degree (GED). Minimum 5 years of medical billing and account follow up experience.
Knowledge of ICD-10 , CPT, HCPCS and the use of modifiers preferred. Familiar with CMS 1500 /UB04 claim form completion, knowledge of Medicare, Managed care and commercial insurance products and plans.
Knowledge of physician billing and /or collections. Typing speed 55 wpm and the ability to use a calculator.
Source : FFAM360 Heathcare