Home Health Patient Account Representative

Summary Coordinates all patient and insurance billings for the medical facility by performing the following duties.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Contacts patients regarding outstanding balances.
• Establishes payment plans to help patients manage payment of bills.
• Sends delinquent accounts to collection agencies.
• Processes insurance payments to patient accounts in computerized system.
• Creates and mails insurance claims and patient statements.
• Rebills insurance companies or other third parties to secure payment for patients.
• Verifies all entries made by cashiers and makes corrections if necessary.
• Trains appropriate personnel on computerized billing system.
• Responds to patient billing and statement inquiries.
• Makes recommendations to management for write-offs.

Education and/or Experience

One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.

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Other Qualifications

Requires high school graduate or GED.

Knowledge of THMP Medicare/Medicaid system and insurance payor guidelines desirable.

At least 2 years of hospital commercial collection experience, resulting in maximum reimbursement.

Must be detail oriented with excellent communication skills.

Great customer service skills a must.

Computer literate, knowledge of, or ability to learn hospital soft ware is required.

Evening and weekend shift as required.