Senior Patient Account Representative

Northwell • Melville, NY

1d • $44,450 - $69,340 • Remote

About The Position

Monitors the activities and performance of physician practices to ensure that billing related functions are performed in an efficient manner consistent with department policies and procedures.

Requirements

• Associate's Degree required, or equivalent combination of education and related experience.
• 3-5 years of relevant experience, required.

Nice To Haves

• Revenue Cycle and Patient Accounting experience
• Underpayment and payment variance analysis
• Insurance claim adjudication knowledge
• Commercial and Managed Care payer experience
• Contract reimbursement interpretation and analysis
• Knowledge of EOBs, remittance advice, and payment posting
• Medical billing and claims processing experience
• Strong analytical and problem-solving skills
• Knowledge of ICD-10, CPT, and HCPCS coding principles
• Familiarity with EPIC, Soarian, Invision, and payer portals (e.g., Availity)
• Proficiency in Microsoft Excel, including Pivot Tables and VLOOKUPs
• Strong written and verbal communication skills
• Excellent organizational skills with the ability to manage a high-volume workload
• Knowledge of HIPAA and healthcare compliance requirements

Responsibilities

• Interfaces with physicians and administrators to ensure financial growth and stability; apprises physicians of new and revised procedures.
• Monitors accuracy of fee structure and reimbursement payment schedules from third party payers, all cash payment deposits and refunds.
• Acts as resource person for resolution of complex billing situations.
• Guides billing/clerical staff regarding billing and office/clerical functions.
• Coordinates clinical documentation requests to business office to ensure timely appeals.
• Develops and implements policies and procedures to facilitate billing and maximize case collections.
• Reviews and recommends improvements for financial management of each billing area.
• 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: Senior
• Education Level: Associate degree