Patient Account Representative Commercial

Company: Resource Staffing
Location: Houston
Posted on: May 16, 2022

Job Description:

Job DescriptionPatient Account RepresentativePay Rate: $18 /hr.Shift: are Monday-Friday 8:00am - 4:30pm or 8:30am -5:00pmLocation: Loop Central DriveA major healthcare system who owns and operates three hospitals and numerous clinics throughout Harris County is seeking a Patient Account Representative with previous EPIC experience.The Patient Account Representative Responsibilities:

• Utilize payor websites to get information on eligibility, EOBs, claim status and on-line inquiries:
• Avidity, Aetna, Cigna, Human, WellCare, Tricare, United Healthcare, Amerigroup, Molina
• Ensuring that work queues are worked daily and monitoring follow-up activities.
• Update the system with any follow-up activities that are being worked or completed.
• Report payment variances, claim rejections, payor reimbursement issues, or other system issues immediately to management. Completing research daily on each account which includes
• reviewing EOBS, Ras and correspondence from payors that relate to account activities.
• Monitoring account reimbursement daily to ensure that payments are accurate and processed timely.
• Updating patient demographic, insurance, and other patient information. • Must apply appropriate adjustment on accounts which require additional contractual adjustments or a write-off.
• Review patient accounts to determine the next collection action, whether negotiation payment arrangement or discount, proceeding with legal action, or conducting additional insurance follow-up.
• Research denied claims and determines the appropriate course of action to resolve account balances through EPIC Account work queues.
• Identifies issues that are creating denials and works with associated departments to prevent future denials. Requirements:
  • Previous patient account representative experience
  • EPIC
  • EOBs, claims, eligibility
  • Understanding of major insurance carriers #IND5

Keywords: Resource Staffing, Houston , Patient Account Representative Commercial, Other , Houston, Texas