Patient Account Representative, Cardiology Associates
Florence, SC
TRACKING CODE
7103
JOB DESCRIPTION
1. Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-
workers in accordance with our Service Excellence Standards and Core Values
2. Responsible for efficient and effective follow-up on third party payers to determine why payment has not been received
within a specified amount of time.
3. Reviews and interprets payer remittances for the purpose of verifying accuracy of payments, adjustments and to
determine appropriate action to be taken on denied claims, per guidelines.
4. Initiates appeals for denied claims per payer guidelines.
5. Reviews patient account files as necessary for accuracy of information, necessary signatures, pre-certification,
insurance benefits, and deposits made.
6. Submit electronic and hard copy claims in an accurate and timely manner and makes all necessary corrections to the
claims that do not pass the billing edits and payer requirements.
7. Contact payers for status of unpaid claims and research to ensure that questions and requests for information are
addressed in a timely and professional manner to facilitate resolution and reimbursement.
8. Assure timely, effective, and thorough management of claims to ensure full, expected reimbursement for services
provided.
9. Understands and complies with processes for corrected claims, per payer guidelines.
10. Answer telephone calls from patients and other callers promptly and with courtesy, demonstrating service excellence as
a top priority.
11. Communicates payer trends or problems identified as impacting reimbursement to the management team.
12. Ability to look up ICD-10 and CPT Treatment codes from online service or using traditional coding reference.
Job Requirements
Qualifications /Training:
· Six months to one-year related experience and/or training; or equivalent combination of education and experience.
Licenses/Certifications/Registrations/Education:
· High School Diploma or Equivalent (GED) from an accredited school required
WORK SCHEDULE
Full time
JOB LOCATION
Florence, SC, United States
POSITION TYPE
Full time