Patient Account Representative III- Medicine

Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned.

 

ESSENTIAL FUNCTIONS

• Serves as lead worker and trainer for junior level staff.
• Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines.
• Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
• Manually posts payments, contractual adjustments and rejections from EOB’s.
• Reconciles deposits against bank statements and major vendors, Balance GE/IDX daily.
• Breakdown of deposits by payer or FSC.

EDUCATION and/or EXPERIENCE

• High school diploma or general education degree (GED) preferred
• Three or more years of experience in a medical billing office
• General understanding and application of basic accounting principles
• PC proficiency
• Knowledge of GE, EPIC or similar computerized billing system 
• Knowledge of payers in specialty
• Knowledge of ICD-10 and CPT coding preferred
• Understanding of: FSC's and pay codes used in GE system, contractual requirements for the job; importance of compliance with all government regulations regarding billing