The ASC Patient Account Representative will be responsible for efficient and effective claims review of PNS/CMC ASC claims to ensure clean claims are generated via electronic or paper format. The ASC PAR will review patient registration files as necessary for accuracy of information, necessary signatures, pre-certification/referrals, authorizations and insurance benefits. The ASC PAR will submit electronic and hard copy claims in an accurate and timely manner and make all necessary corrections to claims that do not pass the billing edits and payer requirements. The ASC PAR will contact payers regarding unpaid claims and research and/or ensure that questions and requests for information are addressed in a timely and professional manner to ensure resolution and reimbursement. The ASC PAR will answer phone inquiries regarding bills, charges and account status and compose routine correspondence, memos, letters, etc. for patients or insurance companies. The ASC PAR must be willing to coordinate alternate housing within the facility in advance of shifts when inclement weather potential threatens the ability to get to the facility. The ASC PAR may be required to report back to work during any emergency i.e. mass casualty, internal disaster, etc.

All organizational staff, including this position, are specifically required as a condition of continued employment to make advance preparations for their families and pets in the event of weather emergencies such as Hurricanes and flooding threats. Any staff member can be determined as essential staff required to report to the main facility during these events. In many cases this means reporting and sleeping at the facility before, during and after a weather emergency. By signing this job description, the staff member accepts this responsibility of readiness to report to work during any designated emergency staffing situation. CMC staff members operate as one team meeting the healthcare needs of our communities, thus this position will on occasion complete other duties as assigned beyond those designated in this primary job description which may include “float” coverage at an alternate facility, department or assignment.

Qualifications

Assessment of overall credit worthiness by review of a consumer credit report is required.

Education:

• High school diploma required.
• Associates degree in health-related field preferred.

Experience:

• At least one year of medical billing related experience required.
• Previous experience in Physician Billing preferred.

Special Skills:

• Demonstrated proficiency with Microsoft Outlook, word, Excel, Explorer and PowerPoint preferred.
• Exemplary core customer service skills strongly required.
• Strong organizational skills.
• Strong verbal and written communication skills required.
• Ability to consistently exercise independent judgement required.

Working Conditions:

• Stress level high due to multiple demands frequently occurring simultaneously.
• Physical surroundings pleasant and comfortable.
• Generally contained office type environment.
• Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs.