Accounting Software, Accounts Receivable Management, Accounts Receivable Processing, Auditing, Billing, Claims Processing, Communication Skills, Customer Escalations, Customer Support/Service, Detail Oriented, Financial Services, Healthcare, Insurance, Insurance Claims, Medical Billing, Multitasking, Operational Support, Past Due Accounts, Patient Care Authorizations, Patient Follow-up, Payment Posting, Reimbursement, Resolve Customer Issues, Sales Management, Systems Maintenance, Time Management
Job Title: Patient Accounts Representative
Location: New York, NY 10037
Schedule: Monday–Friday | 9:00 AM – 5:00 PM
Work Hours: 37.5 Hours/Week
Position Overview
A healthcare organization is seeking a Patient Accounts Representative to support revenue cycle operations. This role involves medical billing, claims processing, accounts receivable follow-up, and patient account management to ensure timely and accurate reimbursement.
Key Responsibilities
- Review patient accounts and correct claim edits prior to submission
- Prepare and submit claims to insurance payers (paper and electronic)
- Post payments, including insurance and patient payments
- Handle claim denials and rejections, including follow-up and resolution
- Perform insurance follow-ups and manage accounts receivable balances
- Provide patient billing support and customer service
- Process pre-authorizations and conduct patient account audits
- Maintain and update patient accounting systems with accurate data
- Support overall Patient Financial Services and revenue cycle operations
Additional Responsibilities
- Generate patient balance aging and insurance aging reports
- Arrange payment schedules with patients
- Participate in training sessions and ongoing learning initiatives
- Process billing statements and handle customer service inquiries
- Manage rejection and denial workflows
- Perform adjustment applications and database entries
- Follow up on past-due accounts and escalate issues as needed
Required Experience
- Experience in medical billing and patient accounts
- Knowledge of paper and electronic claims processing
- Experience with payment posting, denials, and rejections
- Insurance follow-up and accounts receivable management
- Patient billing and customer service experience
- Pre-authorization and patient account auditing
Core Skills
- Strong attention to detail and accuracy
- Excellent communication and customer service skills
- Ability to manage multiple tasks and meet deadlines
- Proficiency with healthcare billing systems and databases