About The Position

Under the direction of the Revenue Cycle Manager and Supervisor, the Patient Account Representative is responsible for monitoring insurance claims due to no response, pending response, denial and appeal, and proactively resolve balances billed to insurance carriers by way of accurate claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers and other duties as assigned.

Requirements

  • Demonstrated knowledge of the Healthcare Revenue Cycle
  • Experience in medical billing and/or insurance reimbursement methods
  • Prior experience in the Physician Revenue Cycle

Responsibilities

  • Monitoring insurance claims due to no response, pending response, denial and appeal
  • Proactively resolve balances billed to insurance carriers by way of accurate claim adjudication
  • Evaluate and resolve under or over payments and requests for refund from insurance carriers
  • Other duties as assigned
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