Patient Account Representative - Pain Management Clinic
Core
Perform patient financial service functions including billing, claims filing, data entry, and resolving billing questions to ensure financial success for the medical center.
Role type
Patient Account Representative (Revenue Cycle)
Builds
Clean claims submitted to insurance companies, processed patient accounts, and resolved billing discrepancies.
Domain
Healthcare / Medical Billing and Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical claims processing, Revenue cycle functions, Medical terminology, Data entry, Insurance coverage verification, HIPAA compliance, Billing records review, Customer service, Microsoft Word and Excel proficiency, Attention to detail
Preferred skills
ICD-10/HCPCS/CPT coding knowledge, Third-party insurance plan knowledge, Government insurance plan knowledge
Responsibilities
Engage in core revenue cycle functions such as billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, and billing records review. Prepare and submit clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner. Process assigned reports, worklists, and patient accounts with high accuracy and attention to detail. Verify patient insurance coverage and benefits, and coordinate with insurance companies to resolve any discrepancies. Communicate with patients regarding their accounts, answer billing questions, and provide information on payment options.
Seniority
Entry-level, 1 year of related experience