Patient Account Representative

JOB PURPOSE

The Patient Account Representative (PAR) is responsible for working hospital/physician accounts to ensure they are resolved in a timely manner. A PAR will need to effectively perform (as applicable) charge reviews, retro-reviews, work account/claim edits in Cottage's EHR and follow-up on claim submission, remittance review for insurance collections, pursue disputed balances and resolve credit balances from both government and non-government entities. The PAR interfaces with internal revenue cycle departments and external payer organizations including Health Information Management, Case Management, review organizations, access/registration areas, and clinical departments.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum:

Preferred: Some College Coursework in accounting, business administration, healthcare administration, health information management or management

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum:

Preferred:

TECHNICAL REQUIREMENTS

Minimum: Basic MS Word and Excel skills. 35 wpm keyboarding/typing speed. Basic math skills.

Preferred: Advanced user of MS Word, Excel and Outlook.

YEARS OF RELATED WORK EXPERIENCE

Minimum: Successful completion of the Revenue Cycle Department Intern program, possession of Billing Certificate or 6+ months of medical office or patient access experience, working in a healthcare environment (such as doctor's office, patient registration, hospital/clinic billing or scheduling).

Preferred: 1 year in a hospital/physician/clinic environment with knowledge of all billing and/or registration systems and types of medical coverage.