Patient Account Representative - Denials
Core
Review denied or unpaid insurance claims, identify denial reasons, and perform timely follow-up with patient's insurance to ensure accurate claim processing and payment.
Role type
Patient Account Representative (Revenue Cycle)
Builds
Accurate insurance claim payments and resolved denials
Domain
Healthcare revenue cycle / Health insurance
Deliverable
client delivery
Required skills
Health insurance knowledge, Medical billing basics, Insurance claims processing, Revenue cycle understanding, EOB interpretation, CPT/ICD-10/HCPCS knowledge, HIPAA compliance, Data analysis, Problem-solving
Preferred skills
Multiple payer experience, High-volume environment experience, Microsoft Excel proficiency, Task prioritization