Patient Account Representative

Charlie Health•Nashville, TN

4d•Hybrid

About The Position

The Patient Account Representative researches and rectifies third-party healthcare insurance denials, edits, requests for information, and related correspondence. The role supports other revenue cycle management departments in identifying and analyzing open claims and correcting billing errors. It requires thorough knowledge of government, commercial, HMO, PPO, and other insurance billing guidelines across multiple states, as well as sound judgment in processing claims.

Requirements

At least 3 years of experience in an insurance accounts receivable department.
Knowledge of payer-specific billing requirements.
Strong organization and ability to track workflows through various tools.
Strict attention to detail and excellent organizational skills.
Customer service skills for working with insurance companies and company teammates.
Ability to maintain a high level of integrity and confidentiality of medical information.

Nice To Haves

Experience in behavioral health.
Ability to work a hybrid schedule of 4 days per week in the Nashville office.
Located within a 75-minute commuting distance of the Nashville office.

Responsibilities

Maintain aged insurance accounts receivable queues at a reasonable age-base date as defined by leadership.
Review and appeal denied claims related to bundling, medical coding, and contracting issues.
Follow up promptly on all appeal submissions.
Process corrected claims and help ensure timely turnaround on medical documentation requests.
Provide leadership with follow-up and feedback regarding assignments.
Coordinate with other company departments to support smooth and efficient operations across aged accounts receivable.
Work necessary reports to ensure assigned accounts receivable is actively worked and maintained.