Patient Accounts Representative, Full Time

FLSA Status: Non-Exempt
Rate: $18.538-$24.323

PRINCIPAL JOB DUTIES:

  • Analyzes and validates CPT-4, HCPCS, and ICD-10 codes on all charges submitted by providers
  • Processes daily charge tickets, ensures accurate census count, estimates daily charges per provider
  • Prepares accounts for billing to all third party payers including Medicare, Medi-Cal, Worker’s Compensation, Managed Care, Commercial, etc. according to Rural Health Clinic guidelines
  • Performs tasks as necessary to ensure the accurate, timely resolution of patient accounts in accordance with NCFHC/MCDH and Federal established procedures
  • Assists patients and their representatives in a professional manner by providing accurate information and identifying problems needing resolution
  • Processes refunds in a timely manner
  • Identifies and reports system updates to the Business Office Manager in a timely fashion
  • Accurately documents all patient account activity
  • Prepares late charges, updating payer information, and resubmitting claims in a timely fashion, as required
  • Reviews and responds to remittance advice denials, short-pays, suspends, etc. in a timely manner
  • Performs other duties as assigned
QUALIFICATIONS:
  • High school graduate or equivalent
  • Two years prior experience in billing and collections in an RHC, FQHC, or hospital setting
  • Two years prior experience in completion of UB04 and HCFA 1512 forms in accordance to Federal Government programs (Medicare), as well as all State and Commercial third party payers
  • Extensive knowledge of CPT, HCPCS, UB04 revenue coding, modifiers Rural Health Clinic preferred
  • Ability to work autonomously and as a team member by enhancing team effectiveness by supporting team members within the Business Office and the organization
  • Ability to accurately perform basic mathematical computations
  • Demonstrated ability to read, understand and follow instructions
  • Ability to effectively communicate verbally and in writing
  • Working knowledge of the use and applications of computers (preferably Microsoft Excel and Word)
  • Ability to operate computer 10-key pad by touch
  • Ability to communicate in Spanish highly desirable
  • Capable of performing position related physical requirements
  • NextGen experience preferred.

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