Healthcare Client Account Representative

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.
• Responds to refund request letters from insurance carriers.
• Notifies the supervisor of any problem accounts, CPT codes being denied by specific insurance companies, continued errors in charges, and any other hindrance to their productivity or collection of A/R.

Requirements

• 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.

Qualifications

• High school diploma or equivalent (Required).
• Associate degree (Preferred).
• At least five years of experience preferred.
• Medical background or previous insurance billing desired.
• Experience using Medisys preferred.
• Experience using Therabill preferred.
• Experience with workers' compensation preferred.