Patient Account Representative

Job Responsibility

• Resolve complex Workers' Compensation billing situations, denials, and payment discrepancies.
• Prepare and submit comprehensive appeals for denied or underpaid claims, including drafting compelling appeal letters.
• Strong understanding of revenue cycle processes, including denial management and follow-up.
• Conduct thorough follow-up on outstanding Workers' Compensation accounts receivable with payers, adjusters, and legal representatives.
• Manage high-volume work queues, prioritize tasks effectively, and consistently meet strict deadlines.
• Analyzes Workers' Compensation fee schedules and reimbursement payment terms, identifying discrepancies and ensuring accurate expected payments.
• Extensive knowledge of Workers' Compensation laws, rules, and regulations.
• Proficient understanding of CPT, ICD-10, and HCPCS coding, with an emphasis on Workers' Compensation coding requirements.
• Knowledge of Epic HB/PB strongly preferred.

Job Qualification

• A High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Epic experience.