Patient Account Rep II THIRD PARTY - Billing and Initiatives - Fulltime, Days

#REF!•Arlington, TX

8h•Remote

About The Position

Fast-paced, high-volume clinic looking for a top skilled Patient Account Rep II/Third Party Representative. This role involves insurance verification, eligibility, and benefits processing. The representative will assist management with trending, tracking, reporting, and process improvement for commercial and miscellaneous coverage. The accounts are referred by various sources, and the role also provides backup for Medicare/Medicare HMO, Tricare, and VA Coverage Discovery PAR. The position requires organizing and coordinating workflow, meeting deadlines, and staying updated on process changes. A productivity standard of 250 accounts per week is expected, with a Quality Review score goal of 3.0. The representative will pull weekly reports for vendors, identify and elevate trends related to insurance eligibility, verification, and loading, and provide timely issue reporting to supervisors.

Requirements

High School Diploma or equivalent (REQUIRED)
Six Months of experience in Hospital Business Operations Account Receivables (REQUIRED)

Nice To Haves

Backup for Medicare/Medicare HMO, Tricare and VA Coverage Discovery PAR.

Responsibilities

Insurance verification, eligibility and benefits
Assist management with trending, tracking, reporting, process improvement
Verify, load and ill commercial and miscellaneous coverage reported by customer service, ECI ,Medlytix and bad debt agencies.
Organize and coordinate workflow as well as meeting deadlines fand keeping up with changes in processes, etc
Pulling weekly reports for vendor to review and resolve and keeping information organized and accessible.
Identify trends related to insurance eligibility, verification and loading. Trends should be elevated to the management or appropriate departments for corrections as needed.
Issues should be trended and provided to supervisor or management timely.