Associate Patient Account Representative
Northwell Health
About the Role
Performs billing, collections, third party reimbursements, computer data entry and retrieval. Helps in posting charges to accounts.
Key Responsibilities
- Performs charge and payment entry; also ensures accurate completion of coding for all assigned physician specialties.
- Aids review of physician's coding and identify possible conflicts in rules.
- Notifies physician when discrepancies are identified for correction.
- Coordinates incoming mail with open queue charges to maintain queue status.
- Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses most appropriate methods to resolve them.
- Creates detailed, well-versed typed letters to insurances and patients.
- Creates effective appeal packages to submit to insurances.
- Communicates in an effective professional manner when speaking with insurances and patients.
- Maintains organized files of incoming and completed work.
- Performs related duties as required.
Qualifications
- High School Diploma or equivalent required.
- 0-1 years of relevant experience, required.