Patient Account Representative - Remote | WFH - #1695558
Get It Recruit - Healthcare
Date: 1 week ago
City: Birmingham, AL
Contract type: Full time
Remote
Job Summary
We are seeking a diligent and detail-oriented individual to join our team as a Patient Account Representative. In this role, you will play a crucial part in ensuring the timely resolution of accounts, possessing a solid grasp of the Revenue Cycle within the healthcare industry. Your responsibilities will include following up on claim submissions, reviewing remittances for insurance collections, and resolving disputed balances. While a basic knowledge of insurance types such as Commercial, Managed Care, Medicare, and Medicaid is preferable, we value adaptability and the ability to grow within a dynamic work environment.
Key Responsibilities
Communicate professionally with insurance plans, patients, physicians, attorneys, and team members as required.
Utilize computer skills to navigate various system applications for account resolution.
Access payer websites to gather relevant data for account resolution.
Document clear and concise notes in the patient accounting system regarding claim status and actions taken.
Maintain daily productivity goals while meeting quality standards set by leadership.
Identify and communicate any issues impacting account resolution.
Provide support to team members as needed.
Essential Duties And Responsibilities
Research each account thoroughly, utilizing available patient accounting applications and internet resources.
Conduct appropriate account activity to resolve uncollected balances by contacting third-party payors and/or patients.
Update patient or payor demographic/insurance information and notate accounts in detail.
Review contracts, identify billing or coding issues, and request re-bills or corrections as necessary.
Take timely action to resolve accounts or escalate issues to ensure timely resolution.
Maintain current desk inventory without backlog while meeting productivity and quality standards.
Participate in meetings, training seminars, and in-services to enhance job knowledge.
Respond promptly to emails and telephone messages.
Knowledge, Skills, Abilities
Thorough understanding of the revenue cycle process within healthcare.
Intermediate proficiency in Microsoft Office (Word, Excel).
Ability to learn and utilize hospital systems efficiently.
Strong communication, interpersonal, and analytical skills.
Ability to make sound decisions and prioritize tasks effectively.
Familiarity with Commercial, Managed Care, Medicare, and Medicaid collections.
Intermediate understanding of EOB and hospital billing forms.
Education/Experience
High School diploma or equivalent; some college coursework in business administration or accounting preferred.
1-4 years of experience in medical claims and/or hospital collections.
Minimum typing requirement of 45 words per minute.
Physical Demands
Ability to sit and work at a computer terminal for extended periods.
Work Environment
Office/team work environment.
Call center environment with multiple workstations in close proximity.
About Us
As a part of the Tenet and Catholic Health Initiatives family, we at Health bring 30 years of healthcare industry expertise to clients nationwide. We are dedicated to helping our clients strengthen their financial and clinical performance, enhance the patient experience, and succeed in the business of healthcare. If you're ready to be part of innovative solutions in healthcare, we welcome you to join us and take your career to the next level. We offer competitive benefits and provide the resources and leadership to support your professional growth. Welcome to Health!
Employment Type: Full-Time
We are seeking a diligent and detail-oriented individual to join our team as a Patient Account Representative. In this role, you will play a crucial part in ensuring the timely resolution of accounts, possessing a solid grasp of the Revenue Cycle within the healthcare industry. Your responsibilities will include following up on claim submissions, reviewing remittances for insurance collections, and resolving disputed balances. While a basic knowledge of insurance types such as Commercial, Managed Care, Medicare, and Medicaid is preferable, we value adaptability and the ability to grow within a dynamic work environment.
Key Responsibilities
Communicate professionally with insurance plans, patients, physicians, attorneys, and team members as required.
Utilize computer skills to navigate various system applications for account resolution.
Access payer websites to gather relevant data for account resolution.
Document clear and concise notes in the patient accounting system regarding claim status and actions taken.
Maintain daily productivity goals while meeting quality standards set by leadership.
Identify and communicate any issues impacting account resolution.
Provide support to team members as needed.
Essential Duties And Responsibilities
Research each account thoroughly, utilizing available patient accounting applications and internet resources.
Conduct appropriate account activity to resolve uncollected balances by contacting third-party payors and/or patients.
Update patient or payor demographic/insurance information and notate accounts in detail.
Review contracts, identify billing or coding issues, and request re-bills or corrections as necessary.
Take timely action to resolve accounts or escalate issues to ensure timely resolution.
Maintain current desk inventory without backlog while meeting productivity and quality standards.
Participate in meetings, training seminars, and in-services to enhance job knowledge.
Respond promptly to emails and telephone messages.
Knowledge, Skills, Abilities
Thorough understanding of the revenue cycle process within healthcare.
Intermediate proficiency in Microsoft Office (Word, Excel).
Ability to learn and utilize hospital systems efficiently.
Strong communication, interpersonal, and analytical skills.
Ability to make sound decisions and prioritize tasks effectively.
Familiarity with Commercial, Managed Care, Medicare, and Medicaid collections.
Intermediate understanding of EOB and hospital billing forms.
Education/Experience
High School diploma or equivalent; some college coursework in business administration or accounting preferred.
1-4 years of experience in medical claims and/or hospital collections.
Minimum typing requirement of 45 words per minute.
Physical Demands
Ability to sit and work at a computer terminal for extended periods.
Work Environment
Office/team work environment.
Call center environment with multiple workstations in close proximity.
About Us
As a part of the Tenet and Catholic Health Initiatives family, we at Health bring 30 years of healthcare industry expertise to clients nationwide. We are dedicated to helping our clients strengthen their financial and clinical performance, enhance the patient experience, and succeed in the business of healthcare. If you're ready to be part of innovative solutions in healthcare, we welcome you to join us and take your career to the next level. We offer competitive benefits and provide the resources and leadership to support your professional growth. Welcome to Health!
Employment Type: Full-Time
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