Patient Account Representative - Medicare, Medicaid, Commercial Claims
Core
Resolve account balances for patients and insurance companies via phone and mail, handling Medicare/Medicaid and commercial claims.
Role type
Patient Account Representative (Claims Resolution)
Builds
Account adjustments and balance resolutions for healthcare clients
Domain
Healthcare / Insurance Claims
Deliverable
client delivery
Required skills
Customer service, Billing, Appeals & Denials, Medicare/Medicaid knowledge, UB-04 & CMS 1500 forms, Account review, Data entry
Preferred skills
Insurance portals experience, Windows PC skills, Word/Excel proficiency
Responsibilities
Take incoming and make outgoing calls to patients and insurance companies, Resolve account balances to zero before forwarding to collections, Update patient demographic information, Research and respond to patient inquiries by telephone and mail, Complete 40-70 accounts per day, Assist clients with requested tasks
Seniority
Entry-level to Mid-level, individual contributor