Company
Healthcare
PatientAccountRepresentative
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Patient Account Representative. Skills: Healthcare billing, Revenue cycle operations, Insurance claims processing, Denial management. Manage insurance account workflows. Ensure accurate resolution of billing issues”
What You'll Achieve.
Optimize collections; Reduce outstanding balances
Industry & Context.
Problem-solving abilities; Investigate insurance denials; Resolve insurance denials; Appeal insurance denials
What They're Looking For.
Must Have
2+ years healthcare billing experience, 4+ years general billing experience, Understanding insurance claims processing, Understanding denial management, Understanding accounts receivable workflows, Ability to work with healthcare information systems, Ability to work with standard office tools, Excellent written communication skills, Excellent verbal communication skills, Excellent interpersonal communication skills, Customer-focused mindset, Analytical abilities, Problem-solving abilities, Capacity to multitask, Capacity to meet strict deadlines, High attention to detail, Accuracy in data entry, Organizational skills, Ability to work in diverse environment, Ability to work in collaborative environment, Ability to work in fast-paced environment
Nice to Have
Certification in Revenue Cycle Specialist (CRCS) within 18 months
What You'll Do.
Manage insurance account workflows
Ensure accurate resolution of billing issues
Ensure accurate resolution of reimbursement issues
Process insurance account transactions
Ensure proper setup of account activity
Ensure accuracy of account activity
Ensure timely updates of account activity
Investigate insurance denials
Resolve insurance denials
Appeal insurance denials
Communicate with insurers
Communicate with third-party payers
Communicate with internal departments
Ensure efficient claims processing
Ensure efficient claims resolution
Review healthcare claims
Manage healthcare claims
Monitor aged accounts receivable
Reduce outstanding balances
Perform quality assurance checks
Ensure accuracy of account transactions
Ensure compliance of account transactions
Support revenue cycle analytics
Identify trends in denials
Contribute to reporting
Contribute to documentation updates
Participate in process improvement initiatives
Participate in workflow optimization
How You'll Work.
Team & Collaboration
Internal departments
Communication Scope
Written communication; Verbal communication; Interpersonal communication
Full Job Description
## Accountabilities In this role, you will be responsible for managing insurance account workflows and ensuring accurate resolution of billing and reimbursement issues, including: Processing insurance account transactions, ensuring proper setup, accuracy, and timely updates of account activity Investigating, resolving, and appealing insurance denials while documenting all actions in compliance with internal standards Communicating with insurers, third-party payers, and internal departments to ensure efficient claims processing and resolution Reviewing and managing a range of general and specialty healthcare claims, including workers’ compensation and motor vehicle accident cases Monitoring aged accounts receivable and prioritizing workloads to optimize collections and reduce outstanding balances Performing quality assurance checks on account transactions to ensure accuracy and compliance Supporting revenue cycle analytics by identifying trends in denials and contributing to reporting and documentation updates Participating in process improvement initiatives, including lean methodologies and workflow optimization Requirements: This role requires experience in healthcare billing or revenue cycle operations, along with strong communication and problem-solving skills: 2+ years of recent experience in healthcare billing, collections, or revenue cycle operations, or 4+ years in general billing, collections, or customer service Equivalent combination of education and professional experience will be considered Strong understanding of insurance claims processing, denial management, and accounts receivable workflows Ability to work with healthcare information systems and standard office tools such as Microsoft Office Excellent written, verbal, and interpersonal communication skills with a customer-focused mindset Strong analytical and problem-solving abilities with the capacity to multitask and meet strict deadlines High attention to detail, accuracy in data entry, and strong
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