Patient Account Representative - A/R Follow Up Team
About The Position
The Patient Account Representative is an extension of a client’s business office staff and is responsible for timely, effective resolution of unpaid accounts. The role performs claim editing, billing, follow-up, and payment and adjustment processing to support client cash and accounts receivable goals. It includes receiving incoming calls and making outbound calls, researching denied and underpaid claims, selecting and executing appropriate resolutions, and reporting issues and trends to a manager. The representative maintains confidential system and payer website access, follows QBS account management protocols and strategies, and keeps current with relevant systems, federal and state billing regulations, and contract terms related to claim resolution. The representative corresponds with third-party payers and communicates with clients as needed to expedite claim resolution, while performing other assigned job-related duties professionally and positively. This is an on-site position at the San Antonio, Texas office, with a schedule of 8:00 a.m. to 4:30 p.m., Monday through Friday. Travel is not required.
Requirements
- High school diploma or GED, or at least 3 years of relevant equivalent experience in lieu of a diploma or GED.
- 1–3+ years of experience working within revenue cycle, health insurance, or healthcare customer service.
- Working knowledge of medical insurance claim follow-ups, payer portals, and clearinghouses.
- Working experience with EHR and EMR systems.
Nice To Haves
- Meditech experience.
- Epic experience.
- PC skills in a Windows environment.
- Knowledge and use of desktop applications including Word and Excel.
- Bilingual Spanish.
- At least 1 year of experience working in a healthcare or customer service setting.
- Ability to initiate and follow through on projects and work independently with minimal supervision.
Responsibilities
- Resolve unpaid accounts in a timely and effective manner.
- Perform claim editing, billing, follow-up, and payment and adjustment processing to support client cash and accounts receivable goals.
- Receive incoming calls and make outbound calls.
- Analyze and research reasons for denied and underpaid claims.
- Determine and execute the best approach for claim resolution.
- Identify issues and trends and report them to the manager.
- Maintain confidential system and payer website access.
- Follow QBS account management protocols and strategies.
- Maintain current knowledge of relevant systems, federal and state billing regulations, and contract terms and conditions related to claim resolution.
- Correspond with third-party payers according to established protocols to obtain claim status and payment.
- Communicate with clients as needed to expedite claim resolution.
- Perform assigned job-related duties professionally and positively to support cash and accounts receivable goals.
Benefits
- Medical, prescription, dental, and vision insurance.
- Personal and family sick time and company-paid holidays.
- Position may be eligible for a discretionary variable incentive bonus.
- Parental leave.
- 401(k) retirement plan.
- Basic life and supplemental life insurance.
- Health Savings Account and dental/vision and dependent care Flexible Spending Accounts.
- Short-term and long-term disability.
- Tuition reimbursement, personal development, and learning opportunities.
- Skills development and certifications.
- Employee referral program.
- Corporate-sponsored events and community outreach.
- Emergency back-up childcare program.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
