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    Patient Account Representative - Tulsa, United States - Trinity Employment Specialists

    Trinity Employment Specialists
    Trinity Employment Specialists Tulsa, United States

    3 weeks ago

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    Job Description

    Job Description

    Patient Account Representative | Tulsa, OK

    Reports To:Revenue Cycle Manager

    Job Summary:Review and follow-up of charges billed to insurance carriers.This includes contacting insurance companies, researching and re-filing claims, resolving patient billing problems.Shared responsibility for answering patient and insurance calls, printing, reviewing, and mailing demand claims and statements as needed.

    Essential Functions and Responsibilities:

    • Generates and prints insurance claims, both paper and electronic.
    • Files primary, secondary and tertiary insurance claims per office protocol.
    • Processes requests for additional information.
    • Researches, corrects, and refiles all claim denials due to incorrect or missing information.
    • Follows-up on accounts where insurance payment is pending.
    • Answers patient questions and inquiries regarding their accounts and follows through on requests.
    • Works cooperatively with others to increase accuracy and efficiency.
    • Posts all actions and maintains permanent record in patient account or other appropriate place.
    • Prepare and submit account adjustments.
    • Call Insurance companies, hospitals, and referring physician offices to resolve payment problems.
    • Assists other departments as requested by supervisor.
    • Attends meetings as required.
    • Maintains strictest confidentiality.
    • Work claim dashboard from eCW.
    • Verify accuracy of billing data and revise any errors
    • Secure authorizations not properly obtained before services rendered.
    • Research and prepare refund requests for insurance and patient reimbursement.
    • Write up and file appeals to insurance as needed.

    Education:

    • High school diploma or GED required.

    Work Experience:

    • One year of insurance and collection experience in a health care organization.

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