Patient Account Representative I
Core
Processing insurance balance patient claims and resolving unpaid, underpaid, denied, or unresolved patient accounts to support the business office.
Role type
Entry-level Patient Account Representative
Builds
Resolved patient financial accounts and processed insurance claims
Domain
Healthcare billing and insurance reimbursement
Deliverable
client delivery
Required skills
Accounts receivable collections, payer follow-up, claims editing and submission, payment posting, batch reconciliation, credit balance review, retroactive eligibility review, underpayment reconciliation, medical billing operations knowledge, medical terminology, payer landscape knowledge (Medicare, Medicaid, Workers' Compensation, Managed Care, Commercial insurance), basic mathematics, Epic system usage
Preferred skills
None stated
Technologies
Epic
Responsibilities
Responding to payer requests for documentation, fielding and distributing incoming correspondence, resolving work queues in Epic, performing printing and mailing functions, submitting electronic or hardcopy claims, following up on denials and underpayments
Seniority
Entry-level, supervised IC