Patient Account Representative

ID 2025-33933
Location
Cone Health Cancer Center
Work Location
US-NC-Greensboro
Division : Name
Cancer Center
Department : Name
WLCH-CHCC-Admitting
Category
CLERICAL/ADMIN
Position Sub-Category
PATIENT ACCOUNTING
Position Type
Full Time (40 hours/week)
Employment Type
Employee
Exempt/NonExempt
Non-Exempt
FTE
1.00
Workforce Status
Onsite
Work Hours
40.00
Provider Schedule (specific schedule)
7:30am - 4:00pm
On call Required
No
Sub Category
Patient Accounting

Overview

 
The Patient Account Representative explains and comprehends a patient's EOB (Explanation of Benefits). Working under general supervision, this role is responsible for collecting, and posting payments to a patient?s bill. This role anticipates and acts on the needs of customers to enhance the patient experience. The schedule for this position is Monday - Friday, 7:30am - 4:00pm.

 

Responsibilities

 

 
  • Coordinates insurance verification, authorization and patient payment responsibility.
  • Verifies accounts within two business days from evaluation or day prior to first treatment visit and secure pre-authorizations according to timely filing requirements.
  • Documents verification, authorization and patient payment responsibility information on all accounts and completes accurate and timely documentation as required by each payor in the computer information system and in the patient chart.
  • Identifies cases with less than adequate coverage.
  • Assists with patient billing concerns and directs to financial counseling if unable to assist. Identifies coverage and payment options available and communicates information to patient.
  • Analyzes account information notes, dates of service, chart information and takes appropriate actions according to payor requirements in order to ensure reimbursement.
  • Initiates contact with payor, referral source, third party and follow up with identifying and resolving reimbursement issues.
  • Performs other duties as assigned.

Qualifications

 

EDUCATION:
Required: High School Diploma or equivalent

 

EXPERIENCE:
Required: 3 years of experience.

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
 

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