The Patient Accounts Representative performs clerical, accounting, credit and collections, receptionist duties, responds to patient and insurance inquiries, insurance claim filing and performs other duties as assigned. Answer billing questions.Reviews accounts and performs timely follow-up in accordance with department procedure. Adheres to hospital and department policies; demonstrates an understanding of federal regulations by adherence to the Truth in Lending Act, Fair Credit Reporting Act, Fair Credit Billing Act, Fair Debt Collections Practices Act and Bankruptcy laws. Receives, reviews and responds to correspondence from parties regarding patient accounts. Receives incoming telephone calls from responsible parties concerning payment of accounts in a timely fashion. Obtains proper payment in accordance with billing regulations and facility policies. Apprise patient and/or third party payer of balance due to facility and collection of same while maintaining the goodwill of our patient and good community relations. Researches designated portion of aging of patient accounts to expedite payments Ensures interdepartmental communications necessary for timely follow-up and submission of claims. Adds notes to patient accounts concerning various encounters with patient or insurance concerning account. Follow up on claim issues, including secondary claim filing Provides clerical support and backup as needed Prepare and enter daily deposits into the computer system Handles all insurance claims in compliance with all published requirements. Interprets insurance company program requirements and provisions necessary to file proper claims. Determines patient accounts to be referred to the collection agency and prepares a list of such accounts for administration approval. Completes all outside agency contract billing. Initiates payment contract arrangements in accordance with facility policies. Monitors denial letters received from insurance companies; abides by department policy for follow-up. Working of all available work queues in the EPIC system. Accountable for assisting the Revenue Cycle Manager in all of the facility AR aging, including training Patient Account Representatives on the necessary work flow. Provides clerical support and backup as needed in all areas within the office, including limited backup duties of the Revenue Cycle Manager when necessary. Reconcile and monitors the Residents Trust Account. Adhere to Medicare and Medicaid policies. Maintains Seven Sisters Living Centers census. Issues timely refunds in accordance to state regulations. Complete month end checks and balances In addition to the responsibilities described above, the role may include other responsibilities and duties as assigned on occasion, based upon Fall River Health Services and Seven Sisters Living Centers needs or requirements.