Patient Accounts Representative- Infusion Center

GENERAL SUMMARY

Initial contact for the public. Receives payments and allowances and performs data entry of payments, allowances and account adjustments in an accurate and timely manner. Handles inquiries, completes correspondence, accepts private payments and posts cash on a daily basis.

Responsibilities:

• Reviews and processes insurance explanation of benefits statements for accuracy.
• Refers debit/credit balances to collectors and refers credit balances for resolution.
• Reviews accounts on which credit balances exist and determines reason for the credit balance.
• Appropriately adjusts the contractual allowance if in error, completes a transfer if a payment was applied to an incorrect account or requests a refund if an overpayment exists.
• Reports recurring insurance payment discrepancies and works with team to resolve. Identifies accounts on which contractual adjustments are incorrect by working the daily credit balance report.
• Reconciles bank deposits to payments entered into the financial system in a timely manner to ensure accurate account data.
• Reviews accounts and responds in a timely manner.\ Responds to third party inquiries and works to resolve circumstances that create unwarranted debit/credit balances.