Patient Account Representative _Revenue Cycle Customer Service
Core
Perform patient financial service functions including scanning, filing, reviewing correspondence, third-party and patient billing, and resolving billing questions.
Role type
Entry-level revenue cycle customer service representative
Builds
Clean claims submitted to insurance companies and accurate patient billing records
Domain
Healthcare revenue cycle management
Required skills
Medical claims processing, HIPAA compliance, Data entry, Insurance coverage verification, Billing records review, Patient communication, Claims filing, Denial management, Payment posting, Microsoft Excel/Word
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, customer service, and billing records review. Maintain strict confidentiality and adhere to all HIPAA guidelines. Prepare and submit clean claims to insurance companies either electronically or by paper. 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.