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