Patient Account Representative II

Posted 24ds ago

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Job Description

Responsible for processing patient accounts, including insurance payments and claim follow-ups. Requires one year of experience and is based in a remote work environment within the United States.

Responsibilities:

  • Responsible for processing patient accounts.
  • Duties may include one or more of the following: processing insurance payments, following up on denied claims, and resolving credit balances.
  • May work in multiple functional areas.
  • Processes the insurance component of a patient's obligation using the third party claims processing and payment rules.
  • Bills claims appropriately.
  • Follows up on denied claims by performing appeals and denial recovery procedures.
  • Works denied claim lines and no response claims to resolve outstanding accounts.
  • Analyzes credit balances on patient accounts and resolves.
  • Responds to refund request letters from insurance carriers.
  • Identifies process improvement opportunities and participates in improvement plans.
  • Works on special projects as needed.
  • May review the work of others.
  • Performs other duties as assigned.

Requirements:

  • One year of experience is required
  • Healthcare, EPIC & Scheduling experience preferred
  • High School diploma/GED or 10 years of work experience

Benefits:

  • Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
  • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
  • Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.