EMPLOYEE HANDBOOK NOVEMBER 2022

As an Account Representative in Patient Accounts, the expectation is that collection of any fees due from the patient at the time of service is collected. This may be in the form of Cash, Check or Credit Card. The Account Representative ’s also, do some manual posting of charges as well as posting of the payments that the patient makes at the time of service. There are two Supervisors in the Patient Accounts department. They work to support the Account Representatives in making sure that there is always an Account Representative present to welcome each patient to the UEC, and to ensure that the daily responsibilities of the Patient Accounts department such as payment reconciliation, budget plan arrangements, and charge entry are fulfilled. Billing Department The Billing Department has the responsibility of obtaining authorizations, verifying insurance eligibility and billing the insurance carriers and the patients that come to the UEC for care. There is one Manager in the billing department, and serve as a resource on any billing issues that may arise. It is the billing departmen t’s responsibility to ensure that eligibility is verified, authorizations are obtained, extension for services are requested, claims are submitted within a timely matter, and that the UEC complies with any requests by the insurance company for documentation of medical records, or letters of medical necessity. Once payment is received from the insurance company, the billers are accountable for applying the payment to the appropriate corresponding account, and if the payment is not received within the expected timeframe it is the biller ’ s responsibility to follow-up with the insurance company/patient and notifies their respective manager of any issues that arise.

47