RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: - Follows-up on payment with insurance payers and patients on outstanding accounts. - Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner. - Identifies, posts and/or audits payments to ensure QMC has received correct/expected payment from payers in accordance with contract terms. Processes correspondence received from payers and patients. - Responds to patient and insurance inquiries promptly and courteously. II. TYPICAL PHYSICAL DEMANDS: - Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object. III. TYPICAL WORKING CONDITIONS: - Not substantially subjected to adverse environmental conditions. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: - High School diploma or equivalent. B. EXPERIENCE: - One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG's. An associate's or bachelor's degree in business administration, finance, accounting or healthcare related field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative. - Experience and/or background to demonstrate effective written and verbal communication skills in English. - Experience with Windows applications, such as Word, Excel, etc., with demonstrated proficiency in using a mouse and keyboard. - Experience to demonstrate knowledge of medical terminology. - Experience with computer based applications, SMS and/or EPIC systems preferred. Equal Opportunity Employer/Disability/Vet