Patient Accounts Job Description
Patient accounts
provides guidance, assistance, education, and communications with internal and external customers related to insurance and government payers claims processing protocols.
Patient Accounts Duties & Responsibilities
To write an effective patient accounts job description, begin by listing detailed duties, responsibilities and expectations. We have included patient accounts job description templates that you can modify and use.
Sample responsibilities for this position include:
Analyze Excel reports
Summarize data from Excel reports
Contract insurance companies for status of various projects currently in play
Review accounts to be transferred to collections agencies and manage the transfer of accounts to the appropriate agency
Review patient statements after initial collection attempts have been made by a third party vendor to determine the appropriate subsequent actions
Recommend account adjustments for bad debt write-off, evaluates patient accounts for payment plans and/or charity care as needed
Conduct data analysis for respective area, recognize trends, and suggest and implement innovative solutions
Respond to billing inquires on patient accounts
Research and effectively resolve issues through knowledge of medical billing practices
Document actions taken and communicates results
Patient Accounts Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Patient Accounts
List any licenses or certifications required by the position: AAHAM, CPC, CPR, CMS, CRCS
Education for Patient Accounts
Typically a job would require a certain level of education.
Employers hiring for the patient accounts job most commonly would prefer for their future employee to have a relevant degree such as High School and Associate Degree in Associates, Education, Healthcare, Business, Accounting, Finance, Supervision, Technical, Computer, Financial Services
Skills for Patient Accounts
Desired skills for patient accounts include:
Medical terminology
Medical terminology and insurance industry terminology
CPT and ICD-10 coding
State
Billing regulations for payers
Payer contracts and reimbursement
Applicable Federal
Local laws and regulations related to HIPPA and payers
Payer regulatory and compliance
Appropriate claims submission
Desired experience for patient accounts includes:
Make payment plan arrangements for patients experiencing financial difficulty
Arrange settlement of accounts with attorneys and insurance companies
Distribute medical records
Create appeal letters
Review letters of medical necessity
Handle incoming customer service calls presented to the self pay phone queue with the ability to answer, resolve and escalate billing questions, concerns or complaints
Patient Accounts Examples
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Patient Accounts Job Description
Job Description Example
Our company is looking for a patient accounts. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient accounts
- Accurately verify and register active patient insurance information in Flowcast and EPIC
- Audit outstanding self pay balances to ensure all applicable insurances have been billed and have paid or denied invoices appropriately
- Handles self pay accounts in a fast paced work environment while keeping errors to a minimum and ensuring accurate and timely account resolution while documenting appropriate account comments and resolutions
- Review and refer past due balances to our outside collection agency in accordance with UMPhysicians procedures and policies
- Respond to inquiries from patients by phone, letter, or in person regarding their accounts
- Work all accounts in assigned Paperless Collection System queue on a monthly basis
- Work directly with collection agencies on accuracy of accounts assigned, payment discrepancies, disputed balances, , assisting with research as necessary
- Review "Red Dot" accounts (problem and collection accounts) and Termination of Care's (TOC's) inquiries and determine action to be taken on each account
- Work new OB list for previous week's appointments
- Maintains a current and thorough understanding of dialysis reimbursement and industry norms
Qualifications for patient accounts
- Reviews daily, weekly and monthly key metrics to identify trends or areas of focus
- Ensures teammates have the appropriate tools, supplies, job aides, system access, in order to be effective in individual roles
- Builds relationships with ROPS leaders support teams to foster a successful work environment
- Intermediate knowledge of insurance companies AR processing and appeals
- Determine Coordination of Benefits as required
- Minimum of three (3) years' healthcare reimbursement experience preferred
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Patient Accounts Job Description
Job Description Example
Our growing company is hiring for a patient accounts. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for patient accounts
- Analyze operations and systems usage
- Collaborate with other Patient Revenue staff, within and outside of Patient Accounts, on process improvement projects to collectively come up with enhanced workflow methods that ultimately ensure excellent patient service
- Prepare and monitor the cost center budgets—staffing/salary, supplies and equipment, and capital
- The Patient Accounts Lead ensures a customer focused and quality conscious work environment
- Provides routine feedback to management on team performance via audits conducted at a monthly, quarterly and annual to prepare statistical reports
- Ensures department’s continuous excellence in customer focused standards
- Manages the day-to-day operations of the office or practice with supervision, hiring, training, discipline and discharge of all subordinate personnel
- Works with Administrator or Manager to review office/practice operations and assists in the creation or revision of policies and procedures
- Periodically reviews office performance and identifies areas for improvement
- Assists Management in the creation of reports and projects, as assigned
Qualifications for patient accounts
- Must have, at a minimum, a high school diploma
- Must be able to interpret third party coverage and institution's charges (rates) to patient
- Must have excellent computer, time management, organizational, data processing, and analytical skills with proficiency in Excel and Microsoft Office Suite
- Must have highly developed analytical and problem-solving skills
- Schedules and prioritizes for self
- Analyzes information, generates new ideas and opportunities and helps to identify and make decisions
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Patient Accounts Job Description
Job Description Example
Our growing company is looking to fill the role of patient accounts. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient accounts
- Responsible for maintaining dollars outstanding greater than 90 days old at an acceptable level
- Ensure that cash collections as a percentage of Net Revenue are in line with budgeted expectations
- Ensure bad debt as a percentage of Net Revenue is in line with budgeted expectations
- Train, Educate & Develop staff in a manner that promotes staff efficiency, self-esteem, personal initiative, and excellent customer service skills
- Responsible for maintaining staff turnover at an acceptable level within assigned areas
- Demonstrate willingness to identify and/or assume activities relative to the developmental needs of the unit and the department
- Demonstrate dependability/flexibility in meeting the scheduling needs of the unit/department
- Accept assignment as preceptor for new staff and contributes to the professional development of staff and colleagues
- Over sees the staff responsible for the daily billing, collections and cash posting for our off-site rehab locations
- Oversee the staff responsible for the daily billing and handling of contracted corporate, sports and bundle payment accounts
Qualifications for patient accounts
- Two (2) to three (3) years health care credit and collection, billing and/or patient accounting experience required, preferably in a hospital setting
- Previous experience in a clinical office preferred
- 3 years of experience in a healthcare revenue cycle (registration, billing, ) with at least 1 year of experience directly related to Registration/Admitting/ Financial Clearance
- Completed all required OSF revenue cycle training and certifications necessary for levels I and II
- Strong experience with electronic medical record system and strong knowledge of office applications and the internet
- Associates degree in business, healthcare or related field preferred
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Patient Accounts Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of patient accounts. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient accounts
- Resolve executive level patient complaints
- Prepares and reviews monthly reports with the Director of PFS on a routine basis
- Presents opportunities for process flow improvement between areas of responsibility and IT
- Ensure timely filing of Medicare 855B applications
- Perform and report on weekly productivity metrics
- Assist the International Center with PFS related inquires
- Responsible for department Gallup program
- Be responsible for the timely and effective collection of all discharged self-pay patient receivables
- Apprise patient of balance due and collection of same while maintaining the goodwill of our patient and good community relations
- Apprise patient and their party payors of balance due
Qualifications for patient accounts
- Two years of mainframe based PC’s and PC software preferably HBOC and knowledge of Windows applications and electronic billing systems
- Requires communication strong skills to clearly and concisely communicate verbally and in writing with peers, supervisors, payers, physicians, patients, other departments
- Experience with Microsoft Office (Word, Excel, Access, Outlook)
- Experience-previous clerical or business office experience in a healthcare setting
- Strong knowledge of health insurance terminology
- Knowledge of CPT-4, Healthcare Common Procedure Coding System (HCPCS), and ICD-9 Coding
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Patient Accounts Job Description
Job Description Example
Our growing company is looking for a patient accounts. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient accounts
- Determine if patient accounts are unable to be collected and refer for collection agency placement
- Receive incoming calls and correspondence from responsible parties and insurance companies concerning payment of accounts
- Prepare refund requests and work credit balances according to Patient Accounts policies
- Facilitate and demonstrate communication of patient information in order to represent accurately transactions with patients according to internal/external standards
- Research and adjustment experience in Health Care
- Payment posting health insurance physician claims
- Responsible for payment posting/ AR support
- Requires excellent customer service skills and the ability to handle complex phone calls in regards to patient accounts and insurance inquiries
- Promptly resolve and resubmit denied claims
- Take timely and routine action to collect unpaid claims
Qualifications for patient accounts
- Experience with multiple practice management systems
- Knowledge of UB-04, UB-92 and HCFA 1500 billing
- Knowledge of regulatory requirements of the Center for Medicare and Medicaid Services (CMS)
- Knowledge and understanding of clearinghouses
- Knowledge of billing regulations
- Strong communications skills and the ability to effectively communicate both verbally and in writing