Family Care Network is hiring for the position of a Full-Time Patient Accounts Representative in our Patient Accounts Department. The Patient Accounts Representative's primary responsibilities include processing payments, denials and overpayments of accounts in the private or insurance category that is assigned to them in accordance with FCN policies and procedures. This role is performed onsite in the Patient Accounts Department.

Schedule is Monday-Friday, 8am-5pm  

Essential Job Functions:

• Posts patient payments, miscellaneous insurance, and contracted insurance payments and adjustments received through lockbox deposits or received electronically. Provides timely feedback to facilitate accurate claim submission.

• Process EOBs according to contractual agreement and in accordance with established FCN policies and procedures.

• Review and follow up on aging claims for specific insurance carriers.

• Work payment entry status report.

• Adheres to assigned work schedule (attendance and punctuality).

• Answer patient, insurance, and other billing inquiries.

• Generates refunds in accordance with established FCN policies and procedures.

• Communicate billing rule updates set by insurance carriers to appropriate individuals (manager, supervisor, team, and/or clinic).

• Balance payment batches, review, and sign off.

• Update demographics on the patient's account as appropriate. Review and correct billing information on insurance denials.

• Employee seeks assistance as needed and communicates questions in a timely manner and to appropriate staff (supervisor, colleagues, etc.).

• Other duties as assigned.

Knowledge, Skills & Abilities:

• Accurate & efficient keyboarding & data entry.

• Accurately performs detailed work (i.e. plan, multitask, organize, and prioritize work).

• Intermediate computer skills: Health information systems, EMR, MS Word & MS Excel.

• The knowledge base in claims processing for medical billing. Working knowledge of Form 1500, CPT, and ICD Codes. Calculate accurate payment amounts on insurance. Specialized knowledge of commercial insurance, and federal and state billing requirements.

• Strong customer service skills.

• Knowledge of a medical office practice and medical terminology.

• Solve problems, issues, and concerns in a professional manner.

• Work as part of a team; model a positive work ethic & customer-friendly relations.

• Prioritize and multitask detailed projects with frequent interruptions.

• Establishes good employee relations including conflict resolution.

• Discern and maintain confidentiality, in compliance with applicable State and federal laws (i.e. HIPAA).

• Comprehend and communicate information accurately and clearly (verbally and in writing, in person and via phone) with patients, all levels of personnel, and other individuals and groups.

Benefits:

Our health benefit programs are designed to take care of you and your family, offering flexibility and quality care.

• Our health benefits include: two medical plan options, a flexible dental benefit including orthodontia, vision coverage, Employee Assistance Plans, Flexible Spending Account program and Life/AD&D, Accident and Insurance insurance plans. Benefit eligibility is determined based on the full or part-time status of the position.

At FCN, we value the importance of time away from work for leisure, health