Patient Account Representative - Middleton - job 677159

UW Health Care Direct

Date: 04/08/2021

City: Middleton, Wisconsin

Employment type: Full-time



Position Summary:



The Patient Account Representative produces and submits claims to insurance companies, performs collection calls, answers patients’ billing questions, and ensures records are kept in accordance with policies and procedures.




Technical Responsibilities:



  • Contributes to Operations/Billing meetings.

  • Develops and maintains detailed guidelines in order to bill accounts.

  • Is responsive to coaching/adjustments.

  • Identifies and reports problems causing inefficiencies in processes.

  • Thoroughly reviews patient notes to ensure claims are billed correctly.

  • Processes insurance claims correctly and promptly.

  • In case of billing errors, performs credit/rebills.

  • Understands insurance billing and follow-up processes in order to effectively communicate with callers.

  • Handles phone contact with questions from insurers or providers appropriately.

  • Coordinates with supervisor regarding hardware/software issues.

  • Maintains and files patient records accurately.

  • Facilitates prompt resolution of outstanding account balances (including credit balances) through appeals, follow-up, and other means to ensure timely and accurate collections.

  • Prioritizes accounts to maximize collections.

  • Proficient in researching and resolving delinquent accounts to ensure timely collections.

  • Submits appropriate documentation for adjustments, write offs or bad debt to manager/supervisor.

  • Notifies supervisor of problem accounts.

Clearly communicates with patients, guarantors, and/or other interested parties regarding questions about their bill, concerns about their ability to pay, and/or complaints about services in a courteous, kind, and professional manner.




Education/Experience:


  • High school diploma or equivalent

  • Minimum of two years reimbursement and/or insurance experience preferred experience

  • Infusion, home health, or DME experience preferred

  • Strong interpersonal communication and organizational skills needed





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