Patient Accounts Rep I

Advocate Aurora Health candidates must live in these states: AK, AL, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Major Responsibilities:

• Responsible for daily claims submissions (electronic transmittals, personal computer applications and hard copy claims) to the appropriate payer source.
• Communicates with patients via phone or mail to obtain additional insurance information and interacts with departments/clinics to resolve charging issues affecting the claims.
• Reports trends with other departments that may improve the claims submission process and accounts receivables.
• Provides daily productivity statistics to support management analysis of receivables, as defined by Revenue Cycle leadership.
• Responsible for collection of an assigned section of the accounts receivables, following all policies, procedures and established guidelines.
• Reviews assigned accounts for the following and takes appropriate course of action, including but not limited to: internal or external problems that may cause a delay in payment; denial, resubmissions to insurance, and billing of patient; partial payments.
• Contacts insurance companies or any other person, organization or department whose assistance is needed to obtain payment of our claim, until it is paid or rejected.
• Responds to telephone or written correspondence from insurance companies, employers, state agencies and patients regarding accounts receivables balances. Applies contractual allowances where necessary.
• Develops relationship with internal and external customers and partners to facilitate payment and to ensure regulatory and contractual compliance.

Licensure, Registration, and/or Certification Required:

• None Required.

Education Required:

• High School Graduate.

Experience Required:

• No experience required.

Knowledge, Skills & Abilities Required:

• Good organizational ability, communication skills (written and verbal).
• A basic understanding of accounting/computerized patient accounting systems.
• Ability to multi-task.

Physical Requirements and Working Conditions:

• Must be able to sit the majority of the workday.
• Occasionally lifts up to 10 lbs.
• Exposed to a normal office environment / equipment.
• Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.