Job Details

Must be located in one of the following states: AR, AZ, ID, KY, MI, MN, MO, MT, ND, NM, NV, OK, SD, TN, TX, WY

Direct, permanent hire opportunity!
Pay: $41,600
Schedule: 8am - 5pm, local time (PST, MST, CST, EST)

Job Summary
Our client is seeking a Patient Account Representative responsible for following up
on outstanding Accounts Receivable including Commercial, Workers Compensation,
Government Insurance, or Self Pay. The role involves resolving aged accounts and
handling various related tasks to ensure compliance and achieve optimal
performance.

Responsibilities / Job Duties
• Contact insurance companies and patients to resolve aged accounts.
• Write and file appeals with insurance carriers.
• Work on short paid encounters or outstanding balances.
• Read Explanation of Benefits (EOBs) and verify payments are correct.
• Verify insurance benefits for Commercial, Medicare, and Medicaid Payers.
• Verify status of pending claims and approximate dates of upcoming
payments.
• Identify and correct billing errors and resubmit claims.
• Work on all payer denials.
• Adhere to HIPAA guidelines and Federal Privacy Law.
• Provide feedback to management regarding possible problems and areas of
improvement.
• Answer customer calls, handle grievances, and provide excellent customer
service.
• Maintain and exceed department standards for productivity and quality.
• Ensure compliance with state and federal laws and regulations for various
payers.
• Participate in efforts to improve organizational effectiveness.

Education Requirements
• High School Diploma or equivalent certification.

Qualifications
• Ability to work independently with minimal supervision as well as within a
team environment.
• Experience in managing multiple projects and grasping new concepts.
• Knowledge of Medicare, Medicaid, Commercial, and Workman's Comp
Insurance.
• Proficiency in Microsoft Office with Excel skills.
• Working knowledge of the NextGen System.
• Knowledge of CPT, ICD-9/ICD-10 codes and medical terminology.

Experience
• 2-4 years of Revenue Cycle experience in a healthcare environment, preferably
within a Physical Rehab organization.
• 2-4 years of prior Medical Receivable collections experience preferred.
• Experience with insurance systems, Medicare, and Medicaid online systems
preferred.

Skills
• Excellent organizational skills.
• Excellent internal and external customer service skills.
• Good oral and written communication skills.

Benefits:
401(k) Retirement Plan, Medical, dental and vision plans, Short Term Disability
Insurance, Life Insurance Plan, Weekly Pay, Paid Sick Time

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.