Patient Account Representative (HYBRID/REMOTE)

Job Description

Networks Connect is conducting a search on behalf of our client, a local healthcare provider, for a Patient Account Representative. The Patient Account Representative is responsible for daily billing and follow-up of claims to third-party payers. This role ensures timely and appropriate processing and payment of claims, maintaining accurate account histories and handling denials, mail returns, rejections, and requests for additional information.  This position will require onsite orientation, but then work remotely.

Essential Functions:

• Billing Processing: Review and process billing daily, ensuring accuracy and completeness before submission.
• Account History Maintenance: Maintain clear, concise, and complete histories for each account following established procedures.
• Denials and Follow-up: Review and manage denials, mail returns, rejections, and information requests in a timely and accurate manner, adhering to policy.
• Follow-up Processes: Perform daily follow-up on accounts, working according to established procedures.

Minimum Qualifications:

• Required Experience: Minimum one year experience working medical billing, denials, etc. Must have knowledge of facility billing and revenue codes.

Knowledge, Skills & Abilities:

• Billing and Claims Knowledge: Understanding of third-party billing and claims processing.
• Medical Terminology: Proficiency in medical terminology.
• Computer Skills: Experience with computers, including keyboarding and basic software applications.
• Communication Skills: Excellent verbal communication, interpersonal skills, and critical thinking abilities.
• Adaptability: Ability to adapt to frequent changes and work in a dynamic environment.

Working Conditions:

• Work is generally performed within an office environment with standard office equipment available.

Physical Requirements:

• Constantly: Sitting and visual acuity.
• Frequently: Handling/grasping/feeling, talking, and hearing.
• Occasionally: Lifting/carrying up to 25 lbs.

Earnings

$19.00 - $21.00 hourly

Category

Revenue Cycle