WORK EXPERIENCE

Patient Account Representative II

St. Francis Hospital  -  Columbus, GA - June 2012 to Present

2122 Manchester Expressway, Columbus, GA 31904

Office: (706)596-4000

Supervisor: Tenisia Willis/Barbara Fortson Title: Patient Account Representative II Duties:

-Process simple to moderately complex medical billing and collection claims

-Review and verify the receipt of third party claims; identify errors and seek resolution

-Contact patients and third party payers to resolve past due accounts

-Investigate accounts status and determine follow up action needed

-Verify assigned accounts have been billed to and received by the appropriate third-party payer

-Identify any delays in the processing and payment of claims by third party payers; take the appropriate corrective action to ensure payments are applied.

-Maintain an up-to-date knowledge of trends and regulations to ensure compliance with established regulatory and hospital guidelines

-May assist in training newer and/or lower-level Patient Account Representatives

- Experience with electronic billing in the following systems: Allscripts, Nextgen, Payer Path, Navicure

-Maintain  all  licensure/certifications  required;  maintain  an  up-to-date  knowledge  of  medical  billing  and insurance claim standards

- Knowledge of CCI edits, coding instructions and methodology

-Other duties as assigned or required