RESPONSIBILITIESI. JOB SUMMARY/RESPONSIBILITIES: Follows-up on payment with insurance payers and patients on outstanding accounts. Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner. Identifies, posts and/or audits payments to ensure QMC has received correct/expected payment from payers in accordance with contract terms. Processes correspondence received from payers and patients. Responds to patient and insurance inquiries promptly and courteously.II. TYPICAL PHYSICAL DEMANDS: Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object.III. TYPICAL WORKING CONDITIONS: Not substantially subjected to adverse environmental conditions.IV. MINIMUM QUALIFICATIONS:A. EDUCATION/CERTIFICATION AND LICENSURE: High School diploma or equivalent.B. EXPERIENCE: One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG’s. An associate’s or bachelor’s degree in business administration, finance, accounting or healthcare related field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative. Experience and/or background to demonstrate effective written and verbal communication skills in English. Experience with Windows applications, such as Word, Excel, etc., with demonstrated proficiency in using a mouse and keyboard. Experience to demonstrate knowledge of medical terminology. Experience with computer based applications, SMS and/or EPIC systems preferred. Equal Opportunity Employer/Disability/Vet
