Patient Account Representative

POSITION SUMMARY

The Patient Account Representative for Riccobene Associates Family Dentistry works with both patients and Insurance companies to ensure that Riccobene Associates is accurately and completely collecting fees in accordance with our Insurance Agreements and our Company Policy.

Job Duties & Responsibilities:

·         Obtain Explanation of Benefits utilizing Insurance Company Websites to reconcile with daily Bank Posting.

·         Post Insurance Checks and Insurance EFT payments within various PMS (SoftDent, Eaglesoft, Dentrix, Open Dental) to the specific provider.

·         Submit Daily Insurance Claims.

·         Identify patients with past due balance and generate statement s, phone calls, past due letters or collection notices in accordance with company policy to collect these outstanding balances

·         Identify unpaid insurance claims and address accordingly to recover payment for these claims.

·         Review Insurance Denials and reprocess with amended supporting documentation.

·         Process patient and insurance refund request(s)

·         Audit patient accounts to determine accuracy of credit s and or balances.

Qualifications:

To successfully perform the job responsibilities for the position of Patient Account Representative, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/ or ability required but are not all inclusive.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential requirements.

Essential Requirements

·         Previous Collections experience

·         Preferred 3-5 years of Dental Collections experience

·         Computer proficiency including Outlook, Excel, and Word   and the ability to learn new programs

·         Must have organized approach to workload with proper prioritization and follow through

·         Must be able to accurately interpret Explanation of Benefits statements (EOB's)

·         Ability to demonstrate independent thinking and exercise good judgment

·         Ability to demonstrate a teamwork approach to job responsibilities

·         Ability to demonstrate initiative, dependability and promptness

·         Ability to investigate, analyze and reconcile postings and EOB's

·         Must perform frequent repetitive work with attention to detail

·         Ability to exercise confidentiality with Patients and patient care

·         Must listen attentively for clarification to ensure necessary outcomes

Language and Reasoning Abilities

·         Effectively communicate with patients and insurance companies to collect outstanding balances

·         Communicate both verbally and through patient screen notes with both front desk and clinical as needed

·         Ability to read and interpret documents such as safety rules, procedure manuals, and written correspondence

·         Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

·         Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).