Patient Access Representative Senior - Santa Rosa Primary Academic Med

Summary:

Performs duties relative to financial aspects of patient care, including financial counseling, billing and collection of accounts. Assists managers with various other duties as necessary.

Responsibilities:

• Submits insurance claims to third party payors electronically and on paper. Follows up on unpaid third party claims to resolution (payment or denial).
• Evaluates and processes accounts for adjustments, charity, outside assistance or bad debt. Analyzes accounts to ensure full reimbursement and to satisfy patient and/or insurance company inquiries.
• Collects balances due from patients using phone calls, personal contact, statements, letters or third party services.
• Receives, processes and responds to correspondence or phone inquiries from patients, guarantors, insurance companies, attorneys, etc.
• Compiles data, tracks results and reports to management.
• May be assigned specialty responsibilities in the areas of refunds, reconciliation, balancing and/or posting and in data collection and analysis.
• Handles difficult patient account management issues referred by other staff.
• Assists managers with various duties including, but not limited to, review of write-offs, adjustments, refunds and discounts; coordinating work group activities; and training of other staff.

Requirements:

• High School Diploma

Work Type:

Full Time

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