Company Name:
Weeks Medical Center
Location: Weeks Medical Center
Shift: Day shift Full-time
Job Details:

Position Summary

The Patient Accounts Representative is responsible for both initial and follow-up billing. He/She will do data entry of payments and follow up for resolution of credit balances.


High School Education.

Computer Literate.

Prior Data Entry and Word Processing experience is necessary.

Prior Healthcare Billing experience preferred.

Prior Medical Terminology and Coding knowledge preferred.

Essential Functions of the Job
Required skills and competencies. Has competency checklist been completed with all competencies met (i.e. job skills / knowledge, equipment knowledge)
Maintains on going familiarity with billing requirements of assigned payors. This will include:

Monitoring payment reimbursement

Working closely with Provider Representatives

Maintaining manuals

Distributing bulletins as appropriate

Using on-line web site tools

Must know insurance filing requirements and ensure they are met
Interacts with staff of other departments in an appropriate manner to ensure that all necessary data is present at the time of initial claim submission.
Checks all claims for accuracy and completeness at the time of submission.
Oversees initial, secondary, and follow up billing to ensure that all billing is done in a timely matter. A biller should not write off more than $20,000 total for the year due to handling the accounts untimely. A goal to exceed is to keep the individual write off less than $10,000 for the year.

Ensures accurate and prompt processing of payments, adjustments, and denials for assigned payors to include any necessary follow-up as well as prepping and scanning of back up documents.
Responds to billing inquiries in a timely manner from all customers.
Set up payment plans per policy.
Resolves credit balances in a timely manner. All credits should be resolved within 90 days of the last payment date. Credits resolved between 30-90 days meet expectations. If all credits are resolved prior to 30 days then employee exceeds expectations. Any credit not resolved before 90 days does not meet and would need improvement. Current credit notes will be considered if the employee has done all they can to get the credit resolved timely.
Cross-train for other related Business Office functions to ensure smooth operation of the department.
Performs all other duties as assigned.
Job Code: 82204316
Posted: Jul-21-2014

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