The Clinic Patient Accounting Representative manages the filing of claims, payment posting, and follow-up tasks for designated insurance companies. Working under general supervision, this role is responsible for the entire process from claim submission to payment reconciliation.

Essential Job Function:

Assists in the daily close reconciliation of cash drawers and serves as a backup to the Billing Supervisor for deposit input and check processing, ensuring accurate financial transactions.
Assists with evaluation of patient accounts to provide the patient with account status, payment information, denial information and other items as needed.
Handles follow-up on denied claims for assigned insurance companies, promptly resolving claim issues to prevent accounts from entering the 60+ days aging category, ensuring timely reimbursement.
Identifies patients with insurance balances exceeding $100 (patient or insurance) and refers them to the Collections Specialist for phone contact and follow-up, aiming to efficiently resolve outstanding balances.
Identifies and addresses claims processing issues, including appeals, medical records requests, coordination of benefits questionnaires, and pre-existing condition questionnaires, ensuring accurate and timely claims processing.
Posts patient payments in both the new and the legacy system, accurately recording financial transactions and contributing to precise accounting records.
Performs other duties as assigned.

Education:

Required: High School Diploma or equivalent.

Experience:

Required: 1 Year

Licensure/Certification/Listing:

Clinic Patient Accounting Representative

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