Patient Account Representative - Hospital Non Govt Followup
Core
Perform patient financial service functions including scanning, filing, reviewing correspondence, third-party and patient billing, and resolving billing questions at an introductory level.
Role type
Entry-level patient account representative (revenue cycle)
Builds
Clean claims submitted to insurance companies, processed patient accounts, and resolved billing discrepancies
Domain
Healthcare administration / 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, data entry, Microsoft Word/Excel, medical terminology, revenue cycle functions, attention to detail
Preferred skills
ICD-10/HCPCS/CPT coding, third-party insurance knowledge, government insurance plans knowledge
Responsibilities
Engage in core revenue cycle functions such as billing, claims filing, 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. 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.