Patient Account Representative

About the role

If you LOVE working in a Revenue Cycle or Medical Billing in a fast-paced environment, but from the comfort of your own home, then this might be an exciting opportunity for you. We are rapidly growing and leading physical therapy (PT) clinic platform in the U.S. We own and operate 200+ PT clinics that provide a variety of outpatient rehabilitation services, including: physical therapy, occupational therapy, hand therapy and other ancillary services. Voted Glassdoor’s “Best Places to Work 2021”, we are seeking an independent and extremely detail oriented Medical Collector. The position is responsible for the full range of Payor follow up with different types of Payors. This position is full time (40 hours/week, Monday-Friday).

Job Duties

• Manage primary and secondary claims
• Respond promptly to billing inquiries from patients, insurance companies and departments
• Work with clinics to identify and resolve issues regarding outstanding account balances
• Resolve denials and submit appeals
• Utilizes the most efficient resources to secure timely payment of open claims
• Researches assigned correspondence and takes necessary action to resolve requests
• Ensures daily accomplishments contribute toward company goals for A/R
• Resolve accounts in follow-up queues

Job Requirements

• High School/G.E.D requirement or equivalent combination of education and experience required
• 2 years prior medical receivable collections experience preferred
• Understanding of medical claims processing
• Experience with insurance systems
• Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
• Able to understand claim denials/rejections
• Able to read an Explanation of Benefits
• Knowledge of medical terminology

Education

• High school or equivalent (Preferred)

Experience

• Medical collection: 2 years (Preferred)