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Patient Account Representative - Professional Billing

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Clerical
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QHS
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RESPONSIBILITIES

I.  JOB SUMMARY/RESPONSIBILITIES:
•  Follows-up on payment with insurance payers and patients on outstanding accounts. 
•  Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner. 
•  Identifies, posts and/or audits payments to ensure QMC has received correct/expected payment from payers in accordance with contract terms.  Process correspondence received from payers and patients. 
•  Responds to patient and insurance inquiries promptly and courteously.

II.  TYPICAL PHYSICAL DEMANDS:
•  Essential: standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object.
•  Operates various office equipment such as computer, copier, facsimile, telephone, typewriter, etc.

III.  TYPICAL WORKING CONDITIONS:
•  Performs duties indoors.
•  Some exposure to communicable diseases and other conditions common to a hospital and office environment.

IV.  MINIMUM QUALIFICATIONS:
A.  EDUCATION/CERTIFICATION AND LICENSURE:
•  High school diploma or equivalent education.
•  Knowledge of medical terminology.

B.  EXPERIENCE:
•  One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG’s. An associate’s or bachelor’s degree in business administration, finance, accounting or healthcare related field may be substituted for one (1) year experience as a patient accounts representative.
•  Experience and/or background to demonstrate effective written and verbal communication skills in English.
•  Experience with Windows applications, such as Word, Excel, etc., demonstrated proficiency in using mouse and keyboard.
•  Experience with computer based applications, SMS and/or EPIC systems preferred.

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