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    Patient Account Representative - Oklahoma City, United States - The Dean A. McGee Eye Ins

    The Dean A. McGee Eye Ins
    The Dean A. McGee Eye Ins Oklahoma City, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Essential Functions

    Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

    Job Duties

    • Works out of a Workqueue
    • Must have Medicare / Medicaid billing experience
    • Must have patient collections experience
    • Must have relative and current experience with commercial and all other payers billing
    • Answer all incoming phone calls from patients regarding billing and collections
    • Research patient accounts for adjudication and to answer any concerns
    • Print / Submit medical records for payment of insurance claims (including colored photos)
    • Send written appeals to insurance companies
    • Mail secondary insurance claims
    • Print Explanation of Benefits (EOBs) to submit with secondary claims
    • Make additional adjustments on accounts to reflect the Explanation of Benefits
    • Mail out collections letters printed by supervisor on a monthly basis
    • Assist in giving surgery quotes to patients that have no insurance coverage
    • Process patient and insurance refunds as necessary
    • Recommend bad debt accounts to Manager
    • All other job duties assigned by Supervisor

    Competencies

    • Serving Others
    • Integrity
    • Respect
    • Leadership
    • Accountability
    • Action Oriented
    • Team Oriented
    • Professionalism
    • Continual Learning
    • Informing

    Supervisory Experience

    This position has no supervisory responsibilities.

    Work Environment

    This is a clerical job in a healthcare clinical setting. The Patient Account Representative - Collections will primarily work in an office setting but may be required to walk to other areas of the clinic and may be exposed to contagious illnesses due to patient interactions.

    Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

    While performing the duties of this job, the employee is occasionally required to stand, walk; sit; use hands to finger, handle, or feel objects, tools of controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk of hear; and taste or smell. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

    Position Type and Expected Hours of Work

    This is a full-time position working primarily daytime hours Monday through Friday; however, some evening and weekend work may be necessary on occasion.

    Required Education and Experience

    High School Diploma or equivalent required.

    Customer service experience and basic computer skills required, preferably in a windows environment with electronic medical records software.

    Preferred Education and Experience

    Medicare and Medicaid claims processing knowledge

    Medical terminology or other previous medical office experience desirable

    Knowledge of Ophthalmic terminology

    Pre-certification experience

    Continuing education

    AAP/EEO Statement

    We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

    Other Duties

    Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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