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Patient Account Representative

Mount Sterling, KY 40353

Posted: 05/10/2023 Employment Type: Contract Industry: Accounting Job Number: 7294 Pay Rate: 17.00

Job Description

Wheeler Staffing Partners is hiring a Patient Account Representative  in Mount Sterling, KY. The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This position is NOT remote and reports Onsite Monday - Friday in Mt. Sterling, KY. Must be fully vaccinated.

Patient Account Representative Responsibilities:
Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions
Access payer websites and discern pertinent data to resolve accounts
Utilize all available job aids provided for appropriateness in Patient Accounting processes
Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities
Provide support for team members that may be absent or backlogged

Patient Account Representative Requirements:
High School diploma or equivalent. Some college coursework in business administration or accounting preferred
1-4 years medical claims and/or hospital collections experience
Minimum typing requirement of 45 wpm
Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies
Intermediate skill in Microsoft Office (Word, Excel)
Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently
Ability to communicate in a clear and professional manner
Must have good oral and written skills
Strong interpersonal skills
Above average analytical and critical thinking skills
Ability to make sound decisions
Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors
Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims.
Intermediate understanding of EOB.
Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms.
Ability to problem solve, prioritize duties and follow-through completely with assigned tasks.

WSP specializes in filling your company’s contract, contract-to-hire, direct hire, contingency, and executive positions with professional candidates. From our Executive Retained Search Teams, Direct Hire and Contract Staffing Professionals, and RPO Service offerings we create models to deliver a world-class service, with a sense of urgency and professionalism. Our connections and our candidates combined with a staff backed by over 20 years of experience, ensure that our clients are seeing the right candidates for their career openings.

WSP is committed to creating a diverse environment and is proud to be an equal-opportunity employer.


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Kala Blanton

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