Patient Account Senior Rep - Remote
TalentHop · United States · 3 wk ago
RemoteRemoteInformation TechnologyFull-time
This is a Fully Remote Job About Our Client:The organization operates within the healthcare revenue cycle management sector, addressing challenges related to patient account lifecycle management from creation to payment. It focuses on effective resolution of accounts receivable issues, including claim follow-up, payment collections, and dispute management with both government and commercial payors. About the Opportunity:The PATIENT ACCOUNT SENIOR REP role is responsible for managing complex accounts receivable tasks to ensure timely revenue collection. This position plays a critical part in maintaining the flow of revenue by resolving insurance claims, following up on payments, and supporting team members. The role is key to sustaining an effective revenue cycle through detailed account work and collaboration within a dynamic team. Responsibilities:Conduct professional communications with payors and patients to obtain collection informationNavigate multiple system applications for account research and resolutionAccess payer websites to retrieve necessary data for account managementUse provided job aids to guide follow-up processesDocument detailed notes in patient accounting systemsMeet daily productivity and quality standardsManage complex medical claim issuesIdentify and report system or payor-related issues affecting collectionsCompile data to resolve escalated account problemsAssist with staff training to improve team performanceSupport team members during absences or backlogsResearch accounts using available applications and resourcesUpdate plan IDs and demographic information as neededReview contracts and billing issues, initiate corrections or re-billsOpen dispute records for unresolved accountsMaintain current desk inventory without backlogParticipate in special projects and communicate findingsMonitor payor trends and escalate issues to supervisionAttend trainings to enhance job knowledge Requirements:Comprehensive understanding of the revenue cycle from patient access through billing and collectionsProficient written and verbal communication skillsIntermediate computer skills including PC and MS OutlookStrong interpersonal and analytical skillsAbility to make sound decisions in account managementKnowledge of Commercial, Managed Care, Medicare, and Medicaid collectionsFamiliarity with Managed Care contracts and regulatory requirementsAdvanced understanding of UB-04 forms and EOBsIntermediate knowledge of CPT and ICD-9 codingAdvanced insurance billing and collections terminology knowledge 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:TalentHop 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.