Senior Patient Account Rep

Overview

REMOTE - Must reside in the state of GEORGIA

Specializes in the optimal reimbursement of patient accounts including investigative research, collection duties, and complex account follow-up. May communicate extensively with management in other departments, insurance companies, governmental agencies, patients, physician offices and co-workers to collect and process information relative to claims payment.  Performs account reconciliations and analysis requiring calculation of basic and complex calculations including: multiple reimbursement methodologies within one account, stop loss, DRG groupers, APC calculations, coordination of benefits, insurance accounts receivables (IAR’s), fee schedules, and patient liability. Uses a variety of resources and information systems to extract, enter, and analyze data, including the UB-92 editor, ICD-10, and CPT-4 reference guides.  Responsible for all other duties as may be necessary to ensure timely payments of accounts receivable.

Requirements
High School or GED Diploma Graduate.  Bachelor’s Degree preferred.
Four years of experience in accounting, insurance, collections or other related field. 
Must be CPAR or obtain CPAR within 2 years of assuming position.