Patient Account Rep | Special Billing
Core
Resolve account balances by managing incoming and outgoing calls with insurance companies to process denials, billing, and credits for healthcare clients.
Role type
Patient Account Representative (Special Billing)
Builds
Resolved insurance account balances and processed billing/correspondence for healthcare clients
Domain
Healthcare billing and insurance adjudication
Required skills
Healthcare billing, Insurance account resolution, Denial management, Billing processing, Credit processing, Patient/Insurance correspondence, Project management, Root cause analysis, Complex situation evaluation, Microsoft applications
Preferred skills
Medical billing (2+ years), Specialized insurance contracts (Transplant, Worker's Comp, Dental), ICD-10-CM/PCS, CPT, HCPCS knowledge
Responsibilities
Review accounts, Process denials, Handle billing and credits, Complete correspondence with patients and insurers, Resolve account balances to zero before external collections
Seniority
Entry to Mid-level, hands-on IC