Patient Account Representative - Physician Claims
Core
Resolve physician billing accounts, process claims, and follow up with third-party payers to ensure timely payment and account resolution.
Role type
billing specialist (physician claims)
Builds
resolved accounts receivable for medical practices
Domain
healthcare administration
Required skills
billing processes, accounts receivable follow-up, timely filing guidelines, remittance advice review, electronic billing reports analysis, CMS-1500 claims, appeals submission, HIPAA compliance, customer service, data entry, demographic/insurance information updates
Preferred skills
insurance portals experience, Windows environment proficiency, Word and Excel
Technologies
CMS-1500, payer websites, practice management systems, Word, Excel
Responsibilities
Contact third party payers and guarantors to resolve account balances; work all correspondence within 24 hours; handle denials and submit appeals; monitor denials for trends; bill or re-bill claims; update patient accounts with corrected information; handle internal and external customer calls.
Seniority
entry-level to junior