Patient Account Representative

• Enter inpatient and outpatient charges adhering to carrier regulations for OBGYN.
• Research and assign the appropriate CPT & ICD10 code based on the provider’s dictation, and other medical records to ensure that the most accurate combination of codes is used for each patient.
• Audit and review the appropriateness of the CPT and ICD10 coding selections, assuring that the appropriate link between the two coding procedures has occurred.
• Work closely with providers to ensure notes are submitted in a timely manner for claims processing.
• Follow up with providers on missing Information when the documentation provided does not support the services rendered.
• Respond to denials provided by EVMS Medical Group.
• Review tasks in the EHR daily.
• Authorize procedures and verify benefits with appropriate insurance company.
• Must possess the ability and skills to work independently in a team environment.
• Maintain compliance with Policies and Procedures within the Department of Generalist OB/GYN, Minimally Invasive and Gynecologic Surgery, Urogynecology and Maternal Fetal Medicine, as well as EVMS and E VMS Medical Group.
• Provides feedback to management as to problem areas and when proper information cannot be obtained from providers.
• Performs other duties as assigned

Eastern Virginia Medical School