Patient Access Rep

Ridgeview Medical Center
United States, Minnesota, Le Sueur
621 South 4th Street (Show on map)
Nov 22, 2024
Purpose of Job This position is responsible for the submission, reconciliation and collection of all accounts receivable for Ridgeview Medical Center. Reports and submits claimsto third party payers.Answers inquiries and provides customer service in the resolution of billing issues and account balances. Primary focus is in one of the following areas: Payment posting, collections, accounts receivable management, remittance reconciliation. Job Functions Reviews clearinghouse transactions. Reviews rejections for claim corrections, makes appropriate changes, and generates claim for submission or corrected claim. Reviews aged accounts receivables, monitors and works outstanding insurance claims. Assures payments are posted accurately and timely to patient accounts. Answers inquiries regarding insurance and/or billing concerns and follow-up with peer source when needed. Completes remittance reconciliation. Assists and refers external customers to proper resources for questions. Provides professional and courteous customer service to internal and external customers. Maintains knowledge on insurance companies policies and billing guidelines. Performs other duties as assigned. Minimum Education/Work Experience High school graduate or equivalent 1 year professional medical billing experience or performance history with demonstrated ability to problem solve, provide attention to detail and take initiative Knowledge/Skills/Abilities Demonstrated skills in claim submission Ability to meet and maintain the necessary background checks as aligned with position functions Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above Analytical skills Ability to respond appropriately to unpredictable situations and diverse patient populations Ability to work autonomously and as a team Capable of making independent decisions with the use of good critical thinking and problem solving skills Knowledge of basic computer functions and Microsoft Office applications Ability to multi-task Ability to serve patients in a friendly and efficient manner Ability to perform basic math functions Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above Preferred Qualifications Familiar with medical terminology Cognitive and Mental Demands Time Awareness - Continuous Writing - Continuous Initiation of Work - Continuous Memory - Continuous Receptiveness to Change - Frequent Reasoning - Continuous Required Sequences in Work - Occasional Problem Solving - Continuous Attentiveness Duration - Continuous Social Interactions - Continuous Mathematical Aptitude - Frequent Conflict Management - Continuous Reading - Continuous Detail Oriented - Continuous Link to Employee Health Physical Demands