Patient Account Representative

Classification

Full Time

Supervised By

Revenue Manager

Job Description

Responsible for reviewing third party insurance accounts and following up with insurance companies to ensure accurate payments are received in a timely manner in order to lower our AR days and improve cash position.   Responsible for claims appeals and determining root cause of denials to prevent future unpaid claims.

Responsibilities

  • Research, correct, and re-submit rejected and denied claims.  Average daily goal is 50 accounts.
  • Identify trends and root cause of claim denials in order to decrease denial rate.
  • Communicates effectively with insurance companies as well as 3rd party billing company relating to insurance, benefits or authorizations.
  • Other duties as assigned.

Location

Hillcrest

Hours

Varies

Qualifications

  • High School Diploma
  • 2-4 years of experience in Healthcare setting following up on third party claims.  Experience with HMO plans is required.
  • Working knowledge of the online insurance verification/authorizations processes
  • Proficiency in the insurance process, medical terminology, and coding.
  • Proficiency with Microsoft Office (Word, Excel, Outlook and Internet Navigation)

To Apply

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