Job Description

Job Title: Patient Account Rep

Type: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m.

The Patient Account Representative is responsible for denial management; investigating and

resolving insurance denials, claim editing and submission, payment posting and collections.

Job Duties:
Monitor and track claims processed to ensure prompt reimbursement.

• Daily review of denials and payment discrepancies from insurance
• Investigate and resolve insurance claim denials, rejections, and discrepancies.
• Identify and pursue opportunities for improvements in denial performance.
• Assist in reconciling accounts receivable and follow up on outstanding balances as needed.

Competencies:

• Prior work experience in medical billing setting a must.
• Preferred work experience in claims denial management
• Understanding of medical terminology and coding
• Organized; sets priorities; meets deadlines.

Skills and Abilities:

• Ability to work independently and in a team environment.
• Ability to maintain a positive attitude.
• Detailed-oriented
• Strong work ethic

Education: Minimum High School Diploma or GED

Requirements

Medical A/R, Denial Management: 1 year