Patient Account Representative Government
Cone Health
Patient Account Representative Government ID 2024-28077 Location Cone Health Work Location US-NC-Greensboro Division : Name System Wide Department : Name SW-Government Follow Up Category CLERICAL/ADMIN Position Sub-Category INSURANCE/BILLING Position Type Full Time (40 hours/week) Employment Type Employee Exempt/NonExempt Non-Exempt FTE 1.00 Workforce Status Hybrid I Work Hours 40.00 Provider Schedule (specific schedule) Mon-Fri 8:00 am to 4:30 pm On call Required No Sub Category Insurance/Billing Overview The Patient Account Representative Government accurately analyzes and collects balances on patient accounts and helping with charges, filing, and following up with third party insurance claims in a timely manner. Working under general supervision, this role ensures thorough, concise, and up-to-date documentation is maintained in accordance with procedure, so that collection efforts, responses to inquiries, and patient account status can be researched and verified. This role works with government payers.
Acts as a liaison between the organization and multiple third-party payers.
Initiates contact with third parties to identify and subsequently resolve obstacles affecting payment.
Reviews third party remittance advices to ensure compliance with expected reimbursements and to initiate further action as needed to facilitate full reimbursement.
Pursues unsettled insurance accounts in the method and manner prescribed by policy and responds to requests to ensure reimbursement is obtained.
Analyzes account balances to ensure accuracy of account for appropriate adjustments according to federal/state laws and hospital preferred provider contracts and in a timely manner.
Maintains current working knowledge of reimbursement and regulatory guidelines.
Ensures thorough, concise, and up-to-date documentation is maintained in accordance with procedure, so that collection efforts, responses to inquiries, and patient account status can be researched and verified, as necessary by all reps for customer service to utilize to assure accurate response in patient inquiry resolutions.
Performs other duties as assigned. Qualifications
EDUCATION:Required: High School Diploma or equivalent
EXPERIENCE:Required: 3 years of reimbursement experience in a hospital, clinic or medical business office to include Government payers
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Talent Pool: Corporate Services/Professional
ResponsibilitiesActs as a liaison between the organization and multiple third-party payers.
Initiates contact with third parties to identify and subsequently resolve obstacles affecting payment.
Reviews third party remittance advices to ensure compliance with expected reimbursements and to initiate further action as needed to facilitate full reimbursement.
Pursues unsettled insurance accounts in the method and manner prescribed by policy and responds to requests to ensure reimbursement is obtained.
Analyzes account balances to ensure accuracy of account for appropriate adjustments according to federal/state laws and hospital preferred provider contracts and in a timely manner.
Maintains current working knowledge of reimbursement and regulatory guidelines.
Ensures thorough, concise, and up-to-date documentation is maintained in accordance with procedure, so that collection efforts, responses to inquiries, and patient account status can be researched and verified, as necessary by all reps for customer service to utilize to assure accurate response in patient inquiry resolutions.
Performs other duties as assigned. Qualifications
EDUCATION:Required: High School Diploma or equivalent
EXPERIENCE:Required: 3 years of reimbursement experience in a hospital, clinic or medical business office to include Government payers
LICENSURE/CERTIFICATION/REGISTRY/LISTING: Options Apply for this job onlineApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Application FAQs
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