Senior Patient Account Specialist

3 weeks ago


Sacramento, California, United States Vitreo-Retinal Medical Group, Inc. Full time
Job Overview

The Vitreo-Retinal Medical Group, Inc. is seeking a highly skilled and detail-oriented Patient Account Specialist to join our team. This role will be responsible for resolving outstanding accounts receivable balances in a timely manner, ensuring payment according to Medicare or Payer Contract Agreements, and interacting with patients regarding billing questions.

Estimated Salary: $60,000 - $80,000 per year, depending on experience and qualifications.

About the Role:

  • Following-up on various accounts (Medicare, Medi-Cal, GMC, IPA, HMO, and PPO).
  • Ensuring payment according to Medicare or Payer Contract Agreements.
  • Work assigned NextGen tasks per policy guidelines.
  • Interact with patients regarding billing questions.
  • Request adjustments per policy guidelines when needed on an account.
  • Participate in Account Representative phone queue during assigned timeframe.
  • Completing 1st and 2nd level appeals on claims as needed.
  • Attaching chart notes or referrals, if needed by claim.
  • Effectively work with Claimsource.

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