Patient Account Representative
New
Based in United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 2+ years of recent experience in healthcare billing, collections, or revenue cycle operations, or 4+ years in general billing, collections, or customer service
- Required Skills
- Microsoft OfficeData entry
Requirements
- 2+ years of recent experience in healthcare billing, collections, or revenue cycle operations, or 4+ years in general billing, collections, or customer service
- Equivalent combination of education and professional experience will be considered
- Strong understanding of insurance claims processing, denial management, and accounts receivable workflows
- Ability to work with healthcare information systems and standard office tools such as Microsoft Office
- Excellent written, verbal, and interpersonal communication skills with a customer-focused mindset
- Strong analytical and problem-solving abilities with the capacity to multitask and meet strict deadlines
- High attention to detail, accuracy in data entry, and strong organizational skills
- Ability to work effectively in a diverse, collaborative, and fast-paced environment
- Certification in Revenue Cycle Specialist (CRCS) required within 18 months of hire
Responsibilities
- Processing insurance account transactions, ensuring proper setup, accuracy, and timely updates of account activity
- Investigating, resolving, and appealing insurance denials while documenting all actions in compliance with internal standards
- Communicating with insurers, third-party payers, and internal departments to ensure efficient claims processing and resolution
- Reviewing and managing a range of general and specialty healthcare claims, including workers’ compensation and motor vehicle accident cases
- Monitoring aged accounts receivable and prioritizing workloads to optimize collections and reduce outstanding balances
- Performing quality assurance checks on account transactions to ensure accuracy and compliance
- Supporting revenue cycle analytics by identifying trends in denials and contributing to reporting and documentation updates
- Participating in process improvement initiatives, including lean methodologies and workflow optimization
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