PATIENT ACCOUNT REPRESENTATIVE – Paper Claims

Hiring Department

University Physicians

Job Summary

Work as an in office liaison with all remote staff to insure paper claims are worked accurately, efficiently and submitted in a timely manner. Responsible for Insurance follow-up in accordance with practice protocol, federal, state, and governmental payor guidelines with an emphasis on maximizing timely collections, reduction in AR greater than 90 days, and department collaboration. Strict adherence to procedure adjustment policies, refund policies and other accounts receivable policies as outlined in the UPPA manual is required.

Essential Functions

1. Process all paper claims requiring attachments, such as medical records, coding letters, daily.
2. Communicate directly with staff regarding any missing documents or attachments to ensure claims are completed and mailed out daily.
3. Complete pre-billing activities in order to resolve edits and bill claims timely
4. Ability to analyze problems and respond quickly to prevent any delays in mailing claims daily.
5. Proficiency with all facets of multiple medical practice management systems including patient registration and insurance processing.
6. Maintain an organized, efficient, and professional work environment.
7. Adhere to all practice policies related HIPAA and Medicare Compliance.
8. Other duties as assigned.

Shift

Monday through Friday, 8:00am to 5:00pm

Minimum Qualifications

High school diploma or an equivalent combination of education and experience from which comparable knowledge, skills and abilities can be acquired. Two (2) years of clerical experience; education may be used in lieu of experience.

Preferred Qualifications

Comprehensive understanding of accounts receivable management preferably in a medical office setting. Knowledge of ICD-9, ICD-10, CPT/HCPCS, modifiers, coding, and documentation guidelines. Experience with Managed Care plans and payer guidelines.