Patient Accounts Representative - Denials and Surgery Estimates

Dakota Eye Institute•Bismarck, ND

4d•$20 - $30•Onsite

About The Position

This position is integral to the success of the practice by performing timely and accurate review and resolution of insurance denials and preparation of precise surgery estimations. Ongoing work provides interaction with patients, insurance carriers, staff, and physicians.

Requirements

High school diploma or GED
Minimum of 2 years’ experience in the medical field, preferably with insurance follow-up and/or surgical coordination
Knowledge of medical insurance carriers and denial resolution processes
Proficiency with Microsoft Office and basic computer navigation
Strong written and verbal communication skills, including phone etiquette
Attention to detail and ability to meet deadlines
Compassionate and service-oriented personality
Team player with a proactive approach to problem-solving
Ability to sit or stand for up to 8 hours
Clear speaking voice and ability to hear softly spoken words

Nice To Haves

Experience in surgery estimation or prior authorization strongly preferred

Responsibilities

Reviews and resolves insurance claim denials and rejections in a timely and accurate manner
Communicates with insurance companies to determine reasons for denial and initiates appeals when appropriate
Collaborates with coding and clinical staff to gather necessary documentation for successful reconsideration or appeal
Tracks trends in denials and reports patterns to Revenue Cycle leadership
Prepares accurate and timely surgical estimates
Validates insurance information and authorization status when estimating surgical costs
Ensures clear, professional communication with patients regarding their out-of-pocket responsibilities
Maintains up-to-date knowledge of payer policies and estimation tools
Answers incoming calls to the business office as backup support
Provides general assistance with patient accounts and insurance questions
Maintains accurate documentation in the Practice Management System
Assists with other duties as assigned by the Revenue Cycle Manager
Stays current and ensures compliance with all company policies, procedures, and guidelines
Demonstrates behavior consistent with Dakota Eye’s Mission, Vision, and Values
Maintains professional, timely, and consistent communication with physicians, coworkers, leadership, vendors, and patients
Exhibits a professional demeanor while representing the practice
Maintains a high level of confidentiality in all aspects of work