Patient Account Associate II

This is a fully remote position, open to applicants in Colorado.

📋 Description

• Deliver exceptional, friendly, courteous, and professional service to clients

• Determine suitable payment details and securely store backup documentation as necessary

• Investigate, confirm, and rectify payment postings

• Adhere to procedures and policies to follow up on account resolutions

• Utilize resources to locate payment documentation and interpret payer contracts to ensure account codes correspond with contracts

• Initiate recoupments, refunds from payers, and patient refunds when applicable

• Navigate payer claim portals and comprehend payer functionalities

• Communicate effectively in both verbal and written forms

• Operate computers, office machinery, and software

• Provide training to new and existing team members

• Identify trends in payments, payer behavior, systems, and workflows and escalate issues promptly

• Support leadership in mentoring colleagues and new employees

⛳️ Requirements

• High School Diploma or equivalent (GED) is mandatory

• Minimum of one (1) year of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) is required

• Understanding of Medicaid and Medicare billing regulations is essential

• Two (2) years of experience in hospital or physician insurance-related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) is preferred

• Advanced knowledge of the revenue cycle and health insurance payers

• Proficiency in reading and interpreting payer contracts

• Advanced understanding of Coordination of Benefits

• Advanced knowledge of reading Explanation of Benefits (EOB)

• Advanced familiarity with medical terminology

• Knowledge of payment processing

• Awareness of HIPAA regulations

• Computer literacy and capability to operate computers, office equipment, and software

• Strong written and verbal communication skills

• Ability to read documents and computer screens in English

• Competence in navigating various payer claim portals and understanding payer functionalities

• Skill in distinguishing between genuine overpayments and erroneous credits

• Ability to identify trends in payer behavior, system, or workflow issues and escalate them in a timely manner

• Capability to assist in mentoring colleagues and new hires

• Ability to remain seated or standing for extended periods and perform occasional lifting, bending, kneeling, and reaching

• Ability to comply with remote work expectations regarding confidentiality, information security, work schedules, conflicts of interest, and company equipment

🏝️ Benefits

• Flexible work options where approved and specified in the job posting

• Comprehensive benefits package that includes programs for wellness, health, security, connection, and engagement

• Company-provided equipment and remote work support as outlined in remote work expectations