PATIENT ACCOUNTS COUNSELOR

Patient Accounts Counselor – Patient Financial Services

The primary responsibility of a Patient Accounts Counselor is to follow up with insurance carriers on aged, unresolved claims.

The position requires a comprehensive understanding of the operational aspects of the entire Revenue Cycle as well as the appropriate actions to take in resolving claim issues with payers.

AR {Accounts Receivable) Follow-up includes:

Utilize Worklist(s) across multiple computer systems, prioritizing work according to established departmental standards.

Review accounts with outstanding balances.

Review claim denials while determining the root-cause and identifying potential trends.

Determine if the expected reimbursement matches our calculation, (ie, Payment Variances),

Understand individual payer billing guidelines and requirements.

Communicate with insurance carriers via phone, email or fax in an effort to expedite payment.

Place detailed, follow-up notes on each account worked.

Meet or exceed the established daily productivity standard.

Identify payment variance trends and communicate to Leadership.

Work in an organized way to help the department meet or exceed the monthly collections goal

Participate in other Patient Accounts functions like Billing, Credit Balances and Special Projects as directed.

All other duties as assigned.

Education/Experience:

3-5 years-experience in medical office billing with an emphasis on Follow-up

Working knowledge of ICD-IO & HCPCS/CPT coding

Basic knowledge of third-party insurance plans

Familiarity with medical terminology

Ability to multitask and work independently with minimal supervision

Strong mathematical skills

Basic typing skills with an emphasis on accuracy

The ability to communicate effectively in both verbal and written forms

Listening and reading comprehension sufficient to learn individually and with small groups

A desire to earn and retain important, job-related information

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