Patient Account Rep I - OP

Company: Emory Healthcare
Location: La Grange
Posted on: June 12, 2021

Job Description:

Overview

Work Hours: Full-time (40hrs) 8a-4:30p

Must have insurance verification, referral and precertification experience.

Description

JOB DESCRIPTION:

• Under direct supervision, collects and follows up on all accounts assigned prior to, during, or after admission and discharge.
• Verifies, researches, and completes all paperwork and forms to bill all types of claims for reimbursement.
• Delivers superior customer service to patients and internal customers while serving as a patient advocate during the cycle of the account. Operates standard office equipment including telephone, copier, fax machine; prepares written correspondence and completes various forms.
• Reviews all accounts assigned for collection prior to, during, or after admission and discharge.
• Verifies insurance as needed to resolve account balances. Responsible for handling and resolving incoming customer inquiries / or concerns by providing patient/guarantor from physician practices with a consistent and seamless experience.
• Also responsible for following up and collecting outstanding patient/guarantor balances through inbound and outbound phone contact utilizing a predictive dialing system.
• Under direct supervision, provides outstanding customer service to stakeholders in a diverse and fast-paced environment.
• Drive volumes and increase revenue by obtaining Pre-Authorization for various outpatient/inpatient procedures in a timely Manner.
• Under direct supervision, responsible for operating imaging tools for use in the creation of electronic files or archives.
• Responsible for preparing, scanning, and indexing documents/images being converted to electronic/digital format.
• Under direct supervision, responsible for registering patients from electronic and/or hard copy paper demographic information.
• Ensures that all patient information, payment information, and documents adhere to HIPAA, PCI, and other established quality control standards.

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent and one (1) year of customer service, collections or billing and/or registration experience in a healthcare or insurance setting OR one year of college/technical school and six (6) months progressive experience.
• Typing skills with a minimum of 35 wpm and good communication skills.

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Keywords: Emory Healthcare, Columbus , Patient Account Rep I - OP, Other , La Grange, Georgia