FayettevilleRecruiter Since 2001
the smart solution for Fayetteville jobs

PATIENT ACCOUNT REP

Company: Pinehurst Surgical Clinic PA
Location: Pinehurst
Posted on: February 25, 2021

Job Description:

SUMMARY:
The Patient Accounts Representative is responsible for working and maintaining patient accounts as assigned by Accounts Receivable Manager. Duties include interaction with internal and external customers to resolve unpaid claims with insurance or personal balances with appropriate follow-up. Adherence to the Flawless Reimbursement system is required. Ultimate responsibility is to maximize reimbursement for Pinehurst Surgical as a group practice and to determine that the insurance carrier has paid correctly on all services per contractual or non-contractual agreements. All duties must be performed with professional, world-class customer service as a team member and in an individual effort to support the Accounts Receivable system. Patient Accounts Representative reports directly to Accounts Receivable Manager.

Position Requirements


  • A/R Management
  • Maintain insurance aging report > 120 days to 9.5% for the designated specialty
  • Work denials in all Athena Buckets to achieve the 4% KPI
  • Work with coders to identify coding issues regarding claim denials and educate the applicable department
  • Prepare for monthly department AR meetings



  • Insurance Carrier Management
  • Become knowledgeable with the various federal and commercial medical policies and educate the Patient Financial Service team and Clinical Managers accordingly
  • Develop relationships with the various insurance carriers that are dealt to develop a collegial working relationship
  • Develop an investigative approach in dealing with the insurance carriers and don't take no for an answer. Take every no to the next level and insist on dealing with a supervisor



  • Clinical Department Relationship/Team Building
  • Develop a relationship with the assigned department and communicate issues as they arise
  • Assist assigned Department with all coding, payment, and claim questions
  • Attend monthly Departmental meetings and prepare a working agenda
  • Note the To Do's from the meeting and follow-up with the department manager within 24 hours of the meeting.



    Preferred Qualifications
    Education

  • Prefer candidate with 2-year degree in related field or equivalent work experience


    Experience:

  • 1-3 years' experience of medical billing required.
  • Previous experience working with the public with ability to maintain composure when confronted with fast-paced and stressful situations
  • Knowledge and understanding of insurance and managed care plans.
  • Knowledge and understanding of billing and payment procedures, rules, and regulations

    of contractual and non-contractual insurance carriers

  • Knowledge and understanding of State and Federal insurance regulations
  • Possess a basic understanding of how use ICD-9, HCPCS, and CPT coding books and

    or applications relating to industry standards.

  • Appropriate English usage in spelling, grammar, and punctuation in communicating with both insurance carriers and internal management.
  • Knowledge of basic math concepts with ability to operate standard office machines and computer and balance debits and credits.

    9. Ability to speak clearly and concisely with pleasant attitude, and present a neat appearance.

  • Ability to maintain confidential information.
  • Ability to read, comprehend, and follow oral and written instructions
  • Ability to learn quickly in a fast paced healthcare environment.


    Physical guidelines include ability to work at a computer terminal six to eight hours at a time.

    NOTE:
    This document is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel as assigned by Accounts Receivable Manager.PI129921250

Keywords: Pinehurst Surgical Clinic PA, Fayetteville , PATIENT ACCOUNT REP, Other , Pinehurst, North Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Make up to $15/hour - Deliver with DoorDash
Description: Your time. Your Goals. What is DoorDash Available in over 4,000 cities in the U.S., Canada, and Australia, DoorDash is about connecting people with possibilities: bigger savings accounts, wider nets, (more...)
Company: Doordash
Location: Wilson
Posted on: 03/6/2021

RN Clinical Nurse II- UNC Urology Procedures
Description: DescriptionBecome part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Summary: br Provides (more...)
Company: UNC Health Care
Location: Chapel Hill
Posted on: 03/6/2021

CDL-A Lease Purchase Driver - 1 yr EXP Req'd
Description: Opportunities Available for LEASE PURCHASEBenefits ul li 30,000 Sign-on Stay Incentive 5,000 paid out at 1 year anniversary 10,000 at 2
Company: Hirschbach
Location: Wilson
Posted on: 03/6/2021


Cook
Description: Store Location: US-NC-Rocky Mount Overview: As a Cook, you know that our food is at the core of who we are. Whether you're flipping crispy-edged pancakes as a Grill Cook prepping fresh salads and desserts (more...)
Company: Cracker Barrel Old Country Store
Location: Rocky Mount
Posted on: 03/6/2021

ICU Travel RN - Job Id: JO03006960
Description: Medical Staffing Options is seeking a
Company: Medical Staffing Options
Location: Wilson
Posted on: 03/6/2021

Janitor
Description: JanitorKnow what it's like to be in the stadium on game day Then you know what it's like to work at Buffalo Wild Wings. It's fun. It's fast-paced. We're at the top of our game - and we want to keep it (more...)
Company: Buffalo Wild Wings
Location: Rocky Mount
Posted on: 03/6/2021

Class A CDL Regional Driver - Home Weekends - No Touch Freight - Monthly Bonuses
Description: Job Description: br br Class A CDL Regional Driver - Home Weekends - No Touch Freight - Monthly Bonuses br Call 877-853-9328 x 1170 or Apply Online Below br br One of The Top Trucking Companies (more...)
Company: Daybreak Express
Location: Rocky Mount
Posted on: 03/6/2021

Server
Description: ServerKnow what it's like to be in the stadium on game day Then you know what it's like to work at Buffalo Wild Wings. It's fun. It's fast-paced. We're at the top of our game - and we want to keep it (more...)
Company: Buffalo Wild Wings
Location: Rocky Mount
Posted on: 03/6/2021

Server
Description: ServerKnow what it's like to be in the stadium on game day Then you know what it's like to work at Buffalo Wild Wings. It's fun. It's fast-paced. We're at the top of our game - and we want to keep it (more...)
Company: Buffalo Wild Wings
Location: Wilson
Posted on: 03/6/2021

Food Service Worker
Description: At Wegmans, our commitment to customers is simple: Every Day You Get our Best. Customers tell us they choose Wegmans for the helpful people in our stores, assistance building delicious meals, and the (more...)
Company: Wegmans
Location: Chapel Hill
Posted on: 03/6/2021

Log In or Create An Account

Get the latest North Carolina jobs by following @recnetNC on Twitter!

Fayetteville RSS job feeds