Patient Account Representative Job at Halo Staffing Group LLC
The PAR will be responsible for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution.
Key Responsibilities:
- Have ability to communicate effectively with patient, physicians, and other teammates
- Understands each payer contract and will utilize to ensure payments received are correct.
- Understands and can explain the Explanation of Benefits received from any payer.
- Works closely with payer provider relations representatives.
- Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay and third-party reimbursement issues.
- Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures.
- Follow center policies, procedures, and best practices for resolution and reassignment of accounts.
- Possess basic knowledge of medical terminology and health insurance billing.
- Processing patient refunds for the SC
- Some insurance credits
- Phone support
- Backup duties for the patient customer service rep: mail/phones-patient inquiries/daily payment journal/correspondence distribution/patient collection account assignment
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