Patient Representative Jobs

About The Position

Requirements

• High school diploma of GED required
• Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
• General knowledge of ICD-10 and CPT codes
• Customer Service
• Ability to communicate clearly and concisely
• Knowledge of insurances, coverage guidelines, and payment policies
• Self-starter with the ability to work independently in the furtherance of the goals of the team
• Experience with patient accounting and EMR software

Nice To Haves

• Previous insurance A/R experience preferred
• Intergy experience preferred

Responsibilities

• Examination and timely follow up on unpaid claims
• Completions of investigations and/or appeals of rejected or denied claims
• Communication with department staff members regarding required items for claims corrections
• Identification of claims requiring managerial review and assistance
• Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
• Facilitate the identification or rejection and denial trends
• Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments
• Completion of additional duties as assigned by management

Benefits

• Dental insurance
• Disability insurance
• Health insurance
• Paid time off
• Vision insurance
• $20 per hour
• 401K
• Competitive salary
• Profit Sharing Plan
• Holiday Pay are only available to employees working 24 hours or more per week