PATIENT ACCOUNT REP - INSURANCE

Position Summary Patient Account Representative for medical physician practice billing focusing on insurance payers. Primary responsibilities include billing and insurance follow-up utilizing computer applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Documentation on all collection activity is required in computer applications and must maintain production and quality goals. Qualifications 1 year billing preferred, 2-3 years optimal with understanding of insurance, payment posting, and/or denials management CPC/RHIT certification-preferred Medical office billing experience, PC skills, excellent customer service skills, analytical abilities, excellent attendance Strong oral and written communication skills Self-directed and capable of working without direct supervision Ability to work collaboratively with others Dependable in production, quality and attendance Department Qualifications Skills Office Applications Problem-Solving Time Management Teamwork Microsoft Office (Word, Excel, Teams) Punctuality Conflict Resolution Organization Communicate effectively Detail oriented Department Skills Responsibilities Expectations Manage outstanding accounts receivable for clients and/or assigned payers. Contact payers via phone calls or websites for claims information and to assist in account resolution. Research and resolution of insurance denials for electronic and paper claims. Research, prepare and send appeals for payment to payers. Work collaboratively with revenue integrity to create appeals. Help identify denial trends to prevent loss revenue. Work with payment posters if there are issues with posting codes. Apply Credits to appropriate accounts Discuss billing questions/issues with patients in collaboration with customer service team members. Track payer issues for payer relations team to research Work special projects as needed Follow all Policies and Procedures Department Responsibilities Expectations Working Conditions Work eight hours a day. Working M-F or hours as required by the job. Hybrid/WFH schedule available Lunch periods and breaks are coordinated with other staff members to maintain adequate coverage Cross training in all areas in the department is required. Subject to frequent interruptions and changes in priority of duties throughout the day. Ability to work in a cubical setting for long periods of time. Hazardous Exposure Category Physical Addendum Demands Frequency Remarks Lifting 0-10 lbs Never Lifting 10-20 lbs Never Lifting 20-35 lbs Never Lifting 35-50 lbs Never Lifting 50-75 lbs Never Lifting 75-100 lbs Never Lifting over 100 lbs Never Forward Reaching Continuous 66% of the day Computer work Overhead Reaching Occasional 10-33% Standing Occasional 10-33% Walking Occasional 10-33% Sitting Continuous 66% of the day Climbing Never Stairs/Ladder Never Bending/Stooping Never Twisting/Turning Kneeling/Squatting Crawling Pushing/Pulling 0-10 lbs Never Pushing/Pulling 10-20 lbs Never Pushing/Pulling 20-35 lbs Never Pushing/Pulling 35-50 lbs Never Pushing/Pulling 50-100 lbs Never Pushing/Pulling over 100 lbs Never Carrying 0-10 lbs Carrying 10-20 lbs Carrying 20-35 lbs Carrying 35-50 lbs Carrying 50-100 lbs Carrying over 100 lbs Grasping/repetitive sustained Never Fine motor coordination Continuous 66% of the day Vision: Near/Far/Color Continuous 66% of the day Hearing: ordinary conversation/other Continuous 66% of the day