Patient Account Representative
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Job Description
Processing patient accounts, handling insurance payments, resolving denied claims, and analyzing credit balances. Responsible for various functional areas of patient account management.
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.
- Typically works in no more than two 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.
- Performs other duties as assigned.
Requirements:
- Experience with hospital insurance denials and follow up or Work Comp is required.
- High school diploma or equivalent.
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.
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