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Accounts Representative - Payne Whitney Patient Accounts Hospital

The position of Patient Account Representative may perform functions including insurance verification, inpatient billing, outpatient billing, self-pay collections, insurance follow-up, remittance processing. Responsible for obtaining and verifying insurance coverage by interviewing patients, families, and employers and by verifying coverage with insurance companies. Ensure that notifications, authorizations, pre-certifications are made, when appropriate. Assist self-pay patients in obtaining coverage for hospitalization, e.g., Medical applications, COBRA regulations. Secure promise of payments for patient for all non-covered services. Ensure that all patients are categorized correctly with regard to financial class, insurance company code, etc. Work with medical areas, e.g., Patient Case Management, physician’s offices, to ensure that requested clinical information is supplied timely. Receive and process information required submitting a third party bill. Ensure that bills are complete and comprehensive, e.g. correct form for ID numbers, comprehensives of hospital charges, validity of CPT-4, ICD-9, and HCPCS codes. Ensure that ...