About The Position

The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and 'status' of claims to ensure timely and appropriate processing and payment.

Requirements

  • 18 years of age.
  • Six (6) months previous insurance billing experience.
  • Knowledge of third-party billing and claims processing.
  • Knowledge of medical terminology.
  • Computer experience and skills, including keyboarding.
  • Knowledge of ICD-10 and CPT Coding.
  • Previous experience in a health care setting preferred.
  • Excellent verbal communication, interpersonal, and critical thinking skills.
  • Ability to adapt to frequent change.

Responsibilities

  • Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
  • Processes billing daily, reviewing bills for correctness and completeness prior to submission.
  • Maintains a clear, concise, and complete history on each account according to established procedure.
  • Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
  • Understands and performs follow-up processes for accounts on a daily basis and works accounts according to established procedure.
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