Patient Account Representative – Physician Claims

📋 Description

• Engages with third-party payers and guarantors through payer websites or telephone to resolve account balances for all assigned accounts.

• Processes all correspondence within 24 hours of receipt.

• Records detailed notes regarding correspondence in the client’s system.

• Addresses all denials and takes necessary actions to achieve account resolution.

• Submits appeals as required for all non-clinical denials.

• Monitors all denials for trends and issues, reporting findings to the supervisor.

• Bills or re-bills claims as necessary.

• Ensures compliance with all state and federal billing regulations and HIPAA guidelines.

• Completes assigned special projects within the designated time frames.

• Participates in training sessions and seminars provided by the Client and Third-Party Payers.

• Properly documents each account worked in the client practice management system.

• Makes necessary corrections in the client practice management system.

• Resolves or forwards any address and/or plan changes appropriately to maintain the integrity of the insurance master.

• Updates patient accounts with corrected demographic or insurance information.

• Posts adjustments according to standard operating procedures or as directed by leadership.

• Handles all customer calls, both internal and external, in a professional and courteous manner.

⛳️ Requirements

• High School Diploma / GED or 3 years of relevant equivalent experience in place of Diploma / GED.

• 1-3+ years of experience in office, business, operations, customer service, or the healthcare field.

• Previous experience with insurance portals is preferred.

• Proficiency in PC skills within a Windows environment is required.

• Knowledge and use of desktop applications including Word and Excel are essential.

• Ability to initiate and complete projects independently with minimal supervision.

🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time & Company Paid Holidays.

• Position may qualify for a discretionary variable incentive bonus.

• Parental Leave.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account, Dental/Vision, & Dependent Care Flexible Spending Accounts.

• Short-Term & Long-Term Disability Insurance.

• Tuition Reimbursement, Personal Development & Learning Opportunities.

• Skills Development & Certifications.

• Employee Referral Program.

• Corporate Sponsored Events & Community Outreach.

• Emergency Back-Up Childcare Program.