• Patient Accounts Rep PCD

    Location US-GA-Decatur
    Employee Type
    619970 - Professional Services Billing Office
    Days of the Week for Employee
    Monday - Friday
    2701 North Decatur Road
    Posted on Monster
  • Overview


    Five-Star Rated:

    Recipient for Treatment of Heart Attack in 2013

    Recipient for Treatment of Chronic Obstructive Pulmonary Disease in 2013

    Award Winning Care:

    Outstanding Achievement Award for Cancer Care (2007-2013)
    Surgical Weight Loss Center of Excellence (2007-2013)
    Sleep Disorders Center of Excellence
    2010 Corporation of the Year- DeKalb Chamber of Commerce

    Top Workplace in Healthcare:

    Recognized by our Employees and The Atlanta Journal-Constitution as a 2011 Top Workplace
    Voted by our Employees and Atlanta Magazine as a 2008 Best Place to Work

    “Like” us on Facebook: www.facebook.com/DeKalbMedicalCareers
    Follow us on Twitter: www.twitter.com/DeKalbMedicalHR



    The Patient Account Representative is responsible for overall accounts receivable performance at assigned site(s). Works with patients to clear old balances and with managed care and insurance companies to ensure and maximize payments. Works EOBs, following up on denials. Shares information with providers and staff. Performs insurance verification. Knowledgeable about Medicare, Medicaid and Managed Care, competent on computerized patient information system, understands patient accounts, knowledgeable of CPT4, ICD9-CM, and HCPCS coding, and has excellent customer service skills.



    Regularly reviews and works the accounts receivables aging reports to meet specialty specific benchmarks for Days in A/R.

    Reviews Explanation of Benefits (EOBs), researches reasons for denial and makes appropriate follow-up.

    Reviews patient balances and works with patients to achieve payment following the collection polices established with appropriate follow up with physicians for notification prior to patient being turned over to collections.

    Works with the Practice Manager to answer billing questions in a timely manner.

    Works with Practice Manager to ensure correct insurance information is obtained to ensure clean claims and minimize non-clinical denials. To include Navicure rejections, claim edit reports and unbilled encounters.

    Works with Practice Manger to ensure maximum point of service collections.

    Works with Practice Manager and Providers to process clinical claim denials. To include Navicure rejections, claim edit reports and unbilled encounters.

    Works with Medicare, Medicaid, managed care companies and other insurance companies to determine status of claims in order to enhance collections in a timely fashion.

    Works credit balance report monthly to ensure Medicare rule of 45 day is met.

    Completes refund form on insurance credit balances and submits to the PSBO Manager for approval.

    Completes paperwork received in the correspondence for patient bankruptcy or adjusts patient balance as appropriate.

    Performs other duties as assigned to meet the goals and objectives of DeKalb Medical.

    Participates in continuous quality improvement activities and teams.

    Participates in supporting the organization’s vision, mission and values and adheres to DeKalb Medical Standards of Behavior.

    Performs other duties as assigned to meet the goals and objectives of DeKalb Medical.


    *Reports to: Physician Services Billing Office Manager


    Minimum Education, Experience and Licensure Required:

    • High school diploma
    • Three (3) or more years of experience with claim edits/denials, working with EOBs, knowledge of CPT4/ICD9 coding


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