Patient Account Representative - Remote

About Our Client:The organization operates within the healthcare revenue cycle management sector. It addresses challenges related to the timely resolution and collection of patient account balances, ensuring efficient processing from account creation to payment. The organization employs specialized systems and processes to manage insurance claims, patient billing, and collections across various insurance types including Commercial, Managed Care, Medicare, and Medicaid. About the Opportunity:The PATIENT ACCOUNT REPRESENTATIVE role is focused on resolving patient accounts to ensure timely payments and accurate account management. This position plays a critical role in the revenue cycle by performing follow-ups on claim submissions, reviewing remittances, pursuing disputed balances, and collaborating with payors and other stakeholders. The role requires adaptability and teamwork to maintain productivity standards and effectively manage account issues with minimal assistance. Responsibilities:Research patient accounts using internal applications and internet resources.Conduct account activities including contacting third-party payors and patients.Problem solve to resolve issues that impact revenue collection.Update insurance information and document account actions clearly.Request additional documentation as needed for payor requirements.Review contracts to identify billing or coding issues and request necessary corrections.Manage workload to maintain current account inventory without backlog.Assist with special projects and communicate findings.Identify payment delays and escalate aged accounts to supervisors.Participate in meetings and training to enhance job knowledge.Respond promptly to emails and phone messages.Ensure compliance with applicable State and Federal regulations related to managed care and third-party payors. Requirements:Understanding of the revenue cycle from patient access through billing and collections.Intermediate proficiency with Microsoft Word and Excel.Ability to quickly learn hospital systems such as ACE, VI Web, IMaCS, OnDemand.Clear and professional communication skills.Strong interpersonal, analytical, and critical thinking abilities.Knowledge of Commercial, Managed Care, Medicare, and Medicaid collections.Familiarity with managed care contracts, contract language, and government payor requirements.Understanding of terms like HMO, PPO, IPA, Capitation, and how these payors process claims.Intermediate knowledge of Explanation of Benefits (EOB).Familiarity with hospital billing forms UB04 and HCFA 1500.Ability to prioritize and complete assigned tasks.High school diploma or equivalent; some college coursework in business administration or accounting preferred.1-4 years of medical claims and/or hospital collections experience.Typing speed of at least 45 words per minute. Pay Range and Compensation Package:The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.