Patient Accounts Receivable Representative I

Key Responsibilities

• Works and maintains assigned receivables through work queues, age trail balance reports (ATB’s), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
• Works with third party insurances to obtain maximum level of cash to reduce receivable.
• Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
• Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.