Patient Account Representative - Revenue Cycle - Hospital Billing
Core
Perform patient financial service functions including billing, claims filing, data entry, charge entry, insurance follow-up, denial management, payment posting, and resolving billing questions to ensure financial success for the hospital.
Role type
Entry-level patient account representative (revenue cycle)
Builds
Clean claims submitted to insurance companies (electronic or paper), accurate patient account reports, and resolved billing discrepancies
Domain
Healthcare / Revenue Cycle Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical claims processing, HIPAA compliance, Microsoft Word/Excel, data entry, medical terminology, revenue cycle functions, attention to detail, reading/writing/typing
Preferred skills
ICD-10/HCPCS/CPT coding knowledge, third-party insurance 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, customer service, and billing records review; Prepare and submit clean claims to insurance companies; Process assigned reports, worklists, and patient accounts with high accuracy; Verify patient insurance coverage and benefits and coordinate with insurance companies to resolve discrepancies; Communicate with patients regarding their accounts, answer billing questions, and provide information on payment options.
Seniority
Entry-level, hands-on IC