Patient Account Representative - A/R Follow Up Team
Core
Resolve unpaid medical claims and underpayments by analyzing denials, contacting payers, and processing adjustments to meet cash goals.
Role type
Patient Account Representative (A/R Follow Up)
Builds
Cash flow and accounts receivable for healthcare clients
Domain
Healthcare revenue cycle management
Required skills
Medical insurance claims follow-up, payer portal navigation, clearinghouse operations, EHR/EMR system usage, federal and state billing regulations knowledge, contract terms knowledge
Preferred skills
Meditech experience, Epic experience, Spanish language proficiency, project initiation and independent work
Technologies
Meditech, Epic, Windows desktop applications (Word, Excel), payer portals, clearinghouses, EHR, EMR
Responsibilities
Analyze and research reasons for denied and underpaid claims; Determine and execute best approach for resolution; Identify issues and trends and report to manager; Correspond with third party payers to obtain status and payment; Communicate with clients to expedite claim resolution
Seniority
Entry to Mid-level, individual contributor
