Patient Account Representative/AR Follow-Up Specialist

TEKsystems•Chesapeake, VA

2d•Onsite

About The Position

The Patient Account Representative is responsible for timely and accurate follow-up on unpaid and denied insurance claims to ensure maximum reimbursement. This role works primarily out of EPIC work queues and Aged Trial Balance (ATB) reports, prioritizing high-dollar and aging accounts. The ideal candidate is detail-oriented, analytical, and proactive in resolving claim issues while identifying trends to prevent future denials.

Requirements

Previous experience in medical billing, accounts receivable, or insurance follow-up
Strong understanding of claim denials, follow-up processes, and insurance reimbursement
Ability to analyze data and identify trends related to claim issues
Experience working with electronic health record (EHR) systems, preferably EPIC
Proficiency in Microsoft Excel and navigating multiple payer portals
Strong organizational, communication, and problem-solving skills

Responsibilities

Work daily out of EPIC work queues and Aged Trial Balance (ATB) reports to resolve aged accounts efficiently
Prioritize work by high-dollar balances and age of claims, organizing reports to address oldest accounts first
Review accounts to determine payment status, denials, and next steps for follow-up
Actively work insurance denials, including researching denial reasons and taking corrective action
Request medical records as needed, coordinate with Medical Records, and upload documentation to payer portals
Contact insurance companies to resolve unpaid or denied claims and obtain clarification when needed
Reach out to patients to update or correct coordination of benefits (COB)
Complete all necessary actions to ensure claims are processed and paid accurately
Analyze denial and follow-up trends to identify recurring issues
Collaborate with Kadisha and leadership to address root causes of denials and improve processes moving forward