Patient Account Representative, Surgery Center, Selfpay Collections - Peachtree Orthopedics

Join Our Team at Peachtree Orthopedics and Help Others "Get Better"

At Peachtree Orthopedics, we're on a mission to make a difference in healthcare, and we're looking for dedicated individuals to join our team. With nine convenient offices across Greater Atlanta, we're committed to providing top-notch care and your skills and passion can make a real impact. We're not the largest practice in Atlanta, but we take pride in delivering dedicated and compassionate care to everyone who walks through our doors. If you're ready to be part of a team that values your contribution and offers room for growth, consider joining us in our mission to help others "Get Better."

Our Culture

Peachtree Orthopedics has a rich history of 70 years in business and has earned recognition as a Top Workplace by the Atlanta Journal Constitution for 5 consecutive years. We take pride in our family-oriented, dedicated, passionate, and hardworking culture. When you join our team, you become a part of a community that values excellence in healthcare while working in a supportive and nurturing environment.

Why Choose Peachtree Orthopedics?

At Peachtree Orthopedics, we offer more than a job; we offer an opportunity to be part of something extraordinary:

• Limitless Growth: Propel your career with abundant professional development opportunities within our dynamic organization.
• Empathetic Culture: Immerse yourself in a supportive, lively work culture that values your well-being and celebrates your contributions.
• Dedication to Excellence: Join a team of like-minded individuals who share your commitment to delivering top-notch care to our cherished patients. Your Impactful Role

Location: Atlanta

Work Schedule: Monday – Friday; 8:00am – 5:00pm

Job Type: Full-time

Your Impactful Role

As an ASC Patient Account Representative, you will play a crucial role in our healthcare team, managing accounts receivables, resolving past-due accounts, and ensuring efficient claims processing. This role will handle patient ASC account balances. 

• Account Resolution: Proactively resolve accounts receivable issues with third-party payors and patients, ensuring that balances are managed effectively and daily department AR goals are met.
• AR Insights: Identify and communicate trends, denial issues, or irregularities affecting AR resolution to supervisors and team members, providing recommendations for resolution.
• Coding Proficiency: Review, analyze, and code medical documentation accurately, including ICD-9, ICD-10, and CPT codes for various medical subspecialties.
• Charge Capture: Ensure the accurate and timely capture of charges for both clinic and hospital-based services.
• Industry Knowledge: Stay updated on third-party billing, reimbursement, the clinic's financial policies, and industry developments.
• Reporting: Prepare and submit daily productivity reports as required, contributing to the efficient operation of the department.
• Compliance: Fulfill annual compliance and regulatory requirements as applicable, maintaining the highest standards of healthcare practices.

Qualifications

• High school diploma or general education degree (GED).
• A minimum of 1-2 years of accounts receivable experience in a medical practice, ambulatory surgery center, or hospital setting.
• Knowledge of ICD-10, CPT, HCPCS, and experience with modifiers is required.
• Familiarity with CMS 1500/UB04 claim form completion, knowledge of Medicare, managed care, and commercial insurance products and plans.
• Understanding of physician billing, health insurance coverage, remittance advice, and appeals.
• CPC strongly preferred.
• Typing speed of 55 wpm and proficiency with calculators.

Physical Demands and Work Environment: The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to handle or feel; reach with hands and arms; and to talk or hear. The employee is occasionally required to stand, walk; and stoop, kneel, crouch, or crawl. These duties could require the ability to lift files, open file cabinets, and bend or stand as necessary. The employee must occasionally lift and/or move up to 30 pounds. The employee will operate a keyboard, calculator, telephone, copy machine, computer, and other office equipment as necessary. Specific vision abilities required by this job include close vision. It is necessary to view and type on computer screens for long periods of time and to work in an environment that can be very stressful. The noise level in the work environment is usually moderate. Must be able to deal with aggressive, hostile, and sometimes irrational behavior of patients and family members and can respond to all patients in a calm and professional manner.

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