Patient Account Representative

4 weeks ago

Louisville, United States Gastroenterology of the Rockies Full time
Job DescriptionJob DescriptionStatus: Non-Exempt

Pay Range: $21.00 - $24.00

Type: Full-time

Location: Louisville, CO

About Us: Medamorph is a Management Services Organization providing services to Gastroenterology of the Rockies and its affiliates including joint-ventured endoscopy centers with Boulder Community Health and Intermountain Health. We are currently seeking an experienced and detail-oriented Patient Account Rep. to join our dedicated team.

The Patient Account Rep will investigate outstanding and incorrectly adjudicated insurance claims and take appropriate action needed for proper and timely processing. This position plays a vital role in the revenue cycle process by performing claim follow up duties and providing excellent customer service to ensure patient and client satisfaction.

Essential Duties and Responsibilities:

  • Review Explanation of Benefits carefully to develop a complete understanding of each claim scenario. Perform necessary steps to resolve issues.
  • Conduct appropriate research to determine reason for denial or incorrect processing. Prepare appeals as needed to have claims reprocessed.
  • Review outstanding insurance claims. Make appropriate calls and/or check websites for claim status and act as needed.
  • Submit documents for primary and/or secondary claims on a timely basis. Ensure the documents processed are accurate to facilitate quick processing and payment.
  • Review Unapplied Credit Reports for patient and insurance overpayments. Apply credits when applicable or submit refund requests to management for approval.
  • Answer inbound calls to address billing concerns
  • Note patient accounts to ensure accurate records are kept of activity on each account.
  • Perform other duties as assigned by management or physicians.

Knowledge, Skills, and Abilities:

  • Maintains up-to-date knowledge levels in assigned areas of responsibility.
  • Accepts feedback and takes action to enhance strengths and improve areas that need attention.
  • Accepts accountability for the achievement of assigned departmental and individual goals and objectives.
  • Maintains confidentiality of all company and patient information.
  • Demonstrates positive support for the mission and values of the company.

Minimum Qualifications:

  • High School Diploma or GED
  • 2 years of experience in medical billing and collections
  • Excellent verbal and written communications, including telephone skills.
  • Ability to interact positively and professionally with peers, patients, management, physicians, and outside company representatives in fast paced and stressful situations.
  • Intermediate computer skills in Word, Excel, and medical industry software, (Intergy preferred).


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