Job Information
Mississippi Employer Patient Account Representative in Laurel, Mississippi
- Billing and Claims Processing:
- Review billing codes, patient demographics, and insurance information for accuracy.
- Ensure timely and accurate data collection and entry of insurance/payer information into the electronic medical record to support submission of insurance claims to third-party payers.
- Educate patients on unpaid patient balances and attempt to collect payment.
- Register, load and process insurance eligibility for each patient prior to the patient's appointment.
- Review patient benefits prior to in-office injections/procedures being performed, and assist in the authorization and pre-certification process.
- Review schedule in advance and determine co-pays/co-insurance to be collected at the point of service.
- Patient Account Management:
- Maintain patient accounts, including posting charges, payments, and adjustments.
- Review patient account balances and contact patients regarding outstanding balances or payment arrangements.
- Assist patients with billing inquiries, insurance coverage questions, and payment options.
- Payment Processing:
- Process payments, refunds, and adjustments accurately using billing software.
- Reconcile daily deposits and prepare bank deposits as necessary.
- Correct inaccurate insurance loads to ensure timely filing and payment of claims.
- Customer Service:
- Provide excellent customer service to patients, insurance companies, and other stakeholders.
- Address patient concerns, complaints, and inquiries in a professional and empathetic manner.
- Educate patients on billing processes, insurance benefits, and financial assistance programs.
- Documentation and Reporting:
- Maintain accurate and detailed records of all account activities and communications.
- Generate reports on billing, collections, and account receivables for management review.
- Assist in identifying trends, issues, and areas for improvement in revenue cycle processes.
- Compliance and Regulations:
- Adhere to healthcare regulations, compliance standards, and billing guidelines.
- Stay updated on changes in healthcare laws, insurance regulations, and coding practices.
- Ensure patient confidentiality and data security in accordance with HIPAA regulations.
Qualifications:
- High School Diploma or equivalent; Associate's or Bachelor's degree preferred.
- Previous experience in healthcare billing, collections, or revenue cycle management.
- Knowledge of medical billing codes (CPT, ICD-10), insurance claims processing, and healthcare reimbursement methodologies.
- Proficiency in using billing software, electronic health record (EHR) systems, and Microsoft Office Suite.
- Strong analytical, problem-solving, and organizational skills.
- Excellent communication and interpersonal abilities.