Healthcare Revenue Cycle Management Client Account Representative
7 hours ago
Primary Responsibilities:
- Processes the insurance component of a patient's obligation through claims processing and payment rules.
- Bills claims appropriately.
- Follows up on denied claims by performing appeals and denial recovery procedures.
- Works denied claim lines and no response claims to resolve outstanding accounts.
- Analyzes credit balances on patient accounts and resolves.
- Insurance verification.
- Medisys and Mextgen experience.
- Responds to refund request letters from insurance carriers.
- Notify supervisor of any problem accounts, CPT codes being denied by specific insurance companies, continued error in charges and any other hindrance to their productivity or collection of A/R.
- Compliance is a condition of employment and is considered an element of job performance.
- Maintain HIPAA confidentiality.
- Demographic Processing.
- Analytical and problem-solving abilities.
- Provide excellent customer service through phone calls and emails.
- High level of time management and organizational skills.
- End of the month report generation and list of all accounts not worked.
- Performs other duties as assigned.
Education:
- High school diploma or equivalent (Required).
- Associate degree (Preferred).
Experience:
- At least five years experience preferred.
- Medical background or previous insurance billing desired.
- Medisys and Nextgen preferred.
Physical Requirements:
- Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
- Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
- Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
- Frequent use of hearing and speech to share information through oral communication.
- Frequent keyboard use/data entry.
- Occasional bending, stooping, kneeling, squatting, twisting and gripping.
- Occasional lifting/carrying and pushing/pulling objects weighing lbs.
Job Type: Full-time In-Office.
Expected hours: 40 per week.
Benefits:
- 401(k).
- 401(k) matching.
- Dental insurance.
- Disability insurance.
- Flexible schedule.
- Health insurance.
- Life insurance.
- Paid time off.
- Vision insurance.
Schedule:
- Monday to Friday.
Experience:
- Payment Posting: 5 years (Preferred).
- Follow Up: 5 years (Preferred).
- Healthcare Account Representative: 5 years (Required).
Shift availability:
- Day Shift (Preferred).
Work Location: In person. Must live in the Birmingham area.
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