Patient Accounts Representative

Description

WHO WE ARE:

Spokane Eye Clinic is a physician owned practice established in 1955. We now have grown to more than 26 of the best doctors from around the country. Our providers see 110,000 patients throughout the clinics and perform nearly 12,000 surgical procedures annually. Our patient testimonials are outstanding, and staff enjoy the opportunities for growth throughout their career. We have four clinic locations with more than 300 employees and growing!  

WHY YOU SHOULD JOIN US?

We have so much to offer! As a member of the Spokane Eye Clinic family, our employees enjoy a trusting, supportive, and positive work environment. We focus on hiring top talent with, or without, industry specific training due to our dedicated in-house trainers. We have the ability to educate new hires from the basics to the more advanced skillsets required to serve our patients across the practice. Our internal professional development allows us to promote from within, creating lifelong careers. We offer excellent benefits, Health, Dental, Vision, PTO, 401k, Profit Sharing, LTD, Life/AD&D, clothing allowance and more. Our sight is a crucial part of our everyday lives and being part of a team that contributes to improved eyesight is highly rewarding!   

SUMMARY STATEMENT & PURPOSE:

The patient accounts representative is responsible for participating in any or all aspects of the claims adjudication cycle for patient accounts including, but not limited to, payment posting, claims aging and adjudication, collections, refunds, customer service, phone queue, and other billing functions.  

ESSENTIAL DUTIES & RESPONSIBILITES:

1. Researches patients' questions about accounts; adjusts patients' accounts; responds to written correspondence from patients; researches and reconciles credit balances for accounts.  
2. Performs medical billing functions to third party payers; reviews itemized bills to verify accuracy and completeness of charges; researches denied or incomplete bills; researches and resolves minor patient complaints.  
3. Responsible for identifying and adjudicating aged claims for third-party payers and patient accounts. 
4. Ensures that all third-party and self-pay payments, adjustments, and denials are posted to facilitate timely, accurate management of accounts receivable.  
5. Investigates codes in which insurance companies disallow reimbursement; corresponds with third-party insurance companies and recommends appropriate reimbursement levels.
6. Receives all insurance checks; runs daily tapes on insurance voucher checks; receives and sorts business office mail; interacts with patients on a daily basis.  
7. May contact and arrange payment plans for overdue balances through direct patient contact and processing of collection accounts.
8. Interacts with patients daily to include answering multi-line phone or direct patient contact. 

Requirements

MINIMUM QUALIFICATIONS

• A minimum of one (1) year related training and/or experience
• Business math ability to include addition and subtraction, with or without a calculator, and an ability to reconcile daily balances
• Exceptional attention to detail
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form; ability to deal with problems involving several concrete variables in standardized situations.
• Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed 
• Must be able to type a minimum of 40 wpm while maintaining accuracy.
• Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy

 PREFERRED QUALIFICATIONS

• College degree in related field
• Knowledge of insurance guidelines and medical billing 
• Certified Professional Coder (CPC) 

 PHYSICAL DEMANDS

The work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals to perform the essential functions. 

While performing the duties of this Job, the employee is regularly required to sit, stand, pull/push, carry, grasp, reach, talk, and hear. The employee is frequently required to walk and lift. The employee is occasionally required to climb, stoop/crouch, and crawl. 

Pay Scale: $18.00 - $27.00 per hour