Patient Account Representative

Northwell • Melville, NY

2d • $41,780 - $64,340

About The Position

Assists in monitoring billing related functions are performed in an efficient manner consistent with department policies and procedures.

Requirements

• Strong understanding of revenue cycle processes, including denial management and follow-up.
• Extensive knowledge of Workers' Compensation laws, rules, and regulations.
• Proficient understanding of CPT, ICD-10, and HCPCS coding, with an emphasis on Workers' Compensation coding requirements.
• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Epic experience.

Nice To Haves

• Knowledge of Epic HB/PB strongly preferred.

Responsibilities

• Resolve complex Workers' Compensation billing situations, denials, and payment discrepancies.
• Prepare and submit comprehensive appeals for denied or underpaid claims, including drafting compelling appeal letters.
• Conduct thorough follow-up on outstanding Workers' Compensation accounts receivable with payers, adjusters, and legal representatives.
• Manage high-volume work queues, prioritize tasks effectively, and consistently meet strict deadlines.
• Analyzes Workers' Compensation fee schedules and reimbursement payment terms, identifying discrepancies and ensuring accurate expected payments.
• Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED