Job Family : Patient Account Representative
Travel Required : None
Clearance Required : None
What You Will Do:
- The Patient Account Representative is an extension of a client’s business office staff.
- Patient accounting representatives are responsible for timely and effective resolution of unpaid accounts.
- They perform a variety of duties including claim editing, billing, follow up, and payment and adjustment processing in order to meet the client cash and A/R goals.
- This is a 100% remote position.
- The qualified individual will be receiving incoming calls and making outbound calls.
- Analyzes and researches reasons for denied and underpaid claims.
- Determines and executes best approach for resolution.
- Identifies issues and trends and reports to manager.
- Maintains confidential system and payer website access.
- Follows QBS account management protocols and strategies.
- Maintains current knowledge of all relevant systems as well as federal and state billing regulations.
- Maintains current knowledge of contract terms and conditions related to claim resolution.
- Corresponds with third party payers, according to established protocols, to obtain status and payment.
- Communicates with clients, as needed, to expedite claim resolution.
- Performs any and all job-related duties, as assigned, in a professional and positive manner to ensure achievement of cash and A/R goals.
What You Will Need:
- High School Diploma or GED or 3+ years of relevant equivalent experience in lieu of diploma / GED.
- 1-3+ years working within revenue cycle, health insurance, or healthcare customer service
- Working knowledge of the following: medial insurance claims follow-ups, payer portals, and clearinghouses
- Working experience with an EHR and EMR systems
What Would Be Nice to Have:
- Meditech Experience
- Epic Experience
- PC skills in a Windows environment.
- Knowledge and utilization of desktop applications to include Word and Excel.
- Bilingual Spanish
- 1+ year experience working in a Healthcare or Customer Service setting.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
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