Patient Accounting Representative I

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

📋 Description

• Process payments, refunds, and account adjustments within specified timeframes.

• Complete designated work queues within the established time limits.

• Reconcile daily batches, balance receipts, and prepare audit trails in accordance with departmental guidelines.

• Review Explanation of Benefits for any errors or discrepancies related to reimbursements.

• Identify differences in allowable fee schedules and communicate necessary updates.

• Report payer trends to management for further analysis.

• Follow up with insurance companies regarding denials and inquiries to resolve account issues.

• Provide necessary information or documentation as required.

• Record actions taken on accounts and verify as well as update insurance information according to departmental policies.

• Process account adjustments in alignment with departmental guidelines.

• Enroll, validate, and re-validate practitioner data with government and commercial payers.

• Update databases and monitor Medicare and commercial payer websites for any revalidation notifications.

• Relay provider changes to contracted health plans and relevant departments using standardized reporting methods.

• Assist in processing applications as per organizational policies, procedures, and health plan requirements.

• Conduct audits of provider data to ensure accuracy.

• Communicate roster changes from physician groups effectively.

• Review Epic Charge work queues, rectify errors, and follow up with relevant departments.

• Analyze daily Epic charge router reconciliation reports to ensure proper filing and interfacing of charges.

• Support departments with corrections for duplicate, missing, or rejected charges.

• Analyze revenue trending reports and escalate issues to management and relevant departments.

• Participate actively in training and educational opportunities.

• Meet productivity and quality standards set by the department.

⛳️ Requirements

• High School Graduate or possess a GED.

• Ability to demonstrate professional, clinical, and/or technical competencies relevant to the assigned unit or department.

• Adherence to governmental and managed care regulations and guidelines.

• Preferred: At least one year of experience in Epic.

🏝️ Benefits

• Equal opportunity employer.

• Reasonable accommodations available for qualified individuals with disabilities.

• Job Alert recommendations tailored to career interests.