Patient Account Rep - Aurora Denver Cardiology
Aurora Denver Cardiology - Aurora, CO

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GENERAL SUMMARY OF DUTIES: The Patient Account Representative is responsible for monitoring and maintenance of Return to Practice functions, as well as seeing claims through from charge entry to full resolution.

  • Daily monitoring and resolution of outstanding outpatient billing claims
  • Working of various billing queues to resolve denials, demographic errors and other holds
  • Obtaining referral and surgery/procedure pre-authorizations from insurance companies, as needed
  • Entering of charges from practice encounter forms, as needed
  • Tracking of billing errors and their sources to ensure process improvement
  • Analyzing EOBs for accuracy when needed for claim resolution
  • Verifying insurance benefits when necessary for accurate claims processing
  • Daily depositing of cash/check payments from practices
  • Following up directly with payors regarding claims processing/payments
  • Communicating as a customer service/billing representative to patients to resolve billing questions
  • Periodic projects, as determined by supervising manager
  • Must read, understand, and adhere to all HealthONE Physician Care policies and procedures.
  • Practice and adhere to the Code of Conduct and Mission and Value Statement.

  • Qualifications
    • Knowledge of basic office equipment including copier, fax machine, and computer.
    • Skill in dealing with interpersonal issues and customer relations.
    • Ability to handle multiple priorities at once with minimal supervision.
    • Ability to comprehend and follow written and verbal instructions.
    • Ability to organize and communicate clearly.
    • Ability to maintain confidentiality of information.
    • Current medical billing experience, including knowledge of ICD-9 and CPT coding practices
    • Ability to work and participate in a team environment within and across departments.

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