The Patient Account Representative, Lead, is responsible for assisting staff with the Self-Pay/Customer Service billing and/or collection of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position will have working knowledge and understanding of managed care contracts including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying State and Federal statutes and regulations, guidelines and systems, and perform the account follow-up function with all Self-Pay/Customer Service payors and government agencies to obtain maximum and correct reimbursement of accounts receivables. This position proactively interacts with insurance companies, government agencies and/or patients to obtain maximum and correct reimbursement of accounts receivable. In addition, this position works with all payors and internal resources to identify and resolve issues that hinder account payment. Applies independent judgment, research and knowledge to audit payor payments, denials, appeals and billing issues. Assists with department workload and provides support to staff, as directed. Supports Management with day-to-day operations and works closely with the department Coordinator to ensure a high level of performance with a commitment to continuous improvement.
Minimum 4 years’ experience and understanding of Self-Pay/Customer Service hospital billing and collections processes, required.
Excellent interpersonal skills
Understand and follow oral and written instructions
Positive work ethics
Knowledge of medical terminology and coding, preferred
Written and verbal communication skills to meet productivity standards