Patient Account Rep
About The Position
At Barbour Orthopaedics, we’re dedicated to providing exceptional orthopedic care through advanced medical techniques, cutting-edge technology, and a patient-centered approach. As a trusted name in Orthopaedic medicine, we pride ourselves on our collaborative environment, commitment to excellence, and a shared mission to help patients live healthier, more active lives. We're currently seeking an experienced Patient Account Representative to join our Revenue Team! If you’re looking to be part of a dynamic healthcare organization that values expertise, integrity, and a genuine dedication to patient care, we’d love to hear from you.
Requirements
- Minimum of two (2) years of accounts receivable experience in a healthcare setting.
- Minimum of one (1) year of medical or personal injury billing experience.
- Prior experience with insurance follow-up, denial management and appeals.
Nice To Haves
- Prior knowledge and experience of commercial, worker’s comp, PIP and personal injury claims.
Responsibilities
- Monitor and manage assigned insurance and patient accounts receivable work queues.
- Perform timely follow-up on unpaid, denied, and underpaid claims with insurance, work compensation, PIP carriers and patients.
- Research and resolve billing discrepancies, claim rejections, denials, and payment variances.
- Ensure accurate documentation of all account activity and follow-up actions within the billing system.
- Review explanation of benefits (EOBs), electronic remittance advice (ERAs), and payer correspondence to determine appropriate actions.
- Submit corrected claims, appeals, reconsiderations, and supporting documentation as necessary.
- Identify trends in denials and reimbursement issues and escalate concerns to management when appropriate.
- Work collaboratively with coding, credentialing, front office, and clinical departments to resolve claim-related issues.
- Maintain knowledge of payer guidelines, billing regulations, and reimbursement policies.
- Assist in identifying workflow improvements to increase collections and reduce AR aging.
- Ensure compliance with HIPAA and all applicable Commercial, Work Compensation, PIP and Personal Injury payer requirements.
- Support departmental goals related to collections, account resolution, and aging reduction.
- Maintain accurate and detailed notes on accounts, personal injury accounts and payer communications.
- Prepare reports related to AR performance, denial trends, and outstanding balances as requested.
- Track and monitor productivity and account resolution metrics.
- Assist with audits and provide supporting documentation when required.
- Communicate professionally with referral sources, insurance representatives, patients, providers, and internal staff.
- Respond promptly to inquiries regarding account balances, claim status, and payment activity.
- Provide exceptional customer service while maintaining confidentiality and professionalism.
- Support team initiatives and contribute to a collaborative work environment.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
