Senior Patient Account Representative

Monitors the activities and performance of physician practices to ensure that billing-related functions are performed efficiently and in accordance with department policies and procedures.

Responsibilities

• Interfaces with physicians and administrators to ensure financial growth and stability; apprises physicians of new and revised procedures.
• Monitors accuracy of fee structure and reimbursement payment schedules from third-party payers, all cash payment deposits, and refunds.
• Acts as a resource person for resolution of complex billing situations.
• Guides billing/clerical staff regarding billing and office/clerical functions.
• Coordinates clinical documentation requests to the business office to ensure timely appeals.
• Develops and implements policies and procedures to facilitate billing and maximize case collections.
• Reviews and recommends improvements for the financial management of each billing area.
• Performs related duties as required.

Requirements

• Associate's Degree required, or equivalent combination of education and related experience.
• 3-5 years of relevant experience.

Skills

• Revenue Cycle and Patient Accounting experience
• Underpayment and payment variance analysis
• Insurance claim adjudication knowledge
• Commercial and Managed Care payer experience
• Contract reimbursement interpretation and analysis
• Knowledge of EOBs, remittance advice, and payment posting
• Medical billing and claims processing experience
• Strong analytical and problem-solving skills
• Knowledge of ICD-10, CPT, and HCPCS coding principles
• Familiarity with EPIC, Soarian, Invision, and payer portals (e.g., Availity)
• Proficiency in Microsoft Excel, including Pivot Tables and VLOOKUPs
• Strong written and verbal communication skills
• Excellent organizational skills with the ability to manage a high-volume workload
• Knowledge of HIPAA and healthcare compliance requirements

Schedule

• Remote
• Monday–Friday
• 8:00 AM–4:00 PM, 8:30 AM–4:30 PM, or 9:00 AM–5:00 PM

Pay

The salary range and/or hourly rate listed is a good-faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).