Patient Account Representative

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

📋 Description

• Engage with payers via phone, email, fax, or websites to address unresolved claims.

• Assess and update patient and financial data.

• Confirm responsible parties or insurance entities for bill settlement.

• Oversee billing precision and rectify known discrepancies.

• Track Medicaid/Healthy Options coupons to guarantee timely billing.

• Invoice hospital services to primary insurers or patients within anticipated timeframes.

• Clarify hospital payment regulations while staying informed about insurance rules and hospital agreements.

• Detect and report underpayment issues and trends in denials.

• Evaluate and resolve delays in payer payments and initiate appeals when warranted.

• Manipulate Excel spreadsheets and convey outcomes effectively.

• Achieve departmental productivity and quality benchmarks.

• Maintain professional interactions with patients, insurance payors, colleagues, management, and clients.

• Uphold confidentiality and manage protected health information in accordance with HIPAA standards.

• Adhere to Information Security and HIPAA policies and protocols.

• Restrict access to PHI to the minimum necessary level.

• Execute additional assigned tasks.

⛳️ Requirements

• High School Diploma or an equivalent qualification is mandatory.

• Medical Billing and Coding certification is preferred but not essential.

• Experience in Hospital/Facility billing is required.

• 2–3 years of experience in insurance collections, encompassing claim submission and follow-up.

• Fundamental understanding of healthcare claims processing, including ICD-9/10, CPT, HCPC codes, and UB-04.

• Capability to utilize workflow and client host systems such as STAR, SMS, EAGLE, and EPIC.

• Working knowledge of insurance follow-up and healthcare reimbursement strategies.

• Comprehension of government, Medicare, and Medicaid claims.

• Proficiency in Microsoft Office Suite, particularly Excel and Word.

• Basic mathematical and typing abilities.

• Excellent interpersonal, written, and verbal communication skills.

• Strong analytical and creative problem-solving skills, demonstrating good judgment and timely evaluations.

• High levels of integrity, reliability, urgency, and results-oriented mindset.

• Friendly and inviting customer-service demeanor.

• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

• Ability to meet the specified physical and mental demands, including sitting, performing manual tasks, operating computers and telephones, following directions, collaborating, and managing stress.

🏝️ Benefits

• Requirement for multifactor authentication and a security device (smartphone or electronic device capable of downloading applications).