Patient Account Representative Insurance

1.0 FTE - Day Shift **This is a remote position. **

Starting Pay - $23.18 to $34.77 (based on experience)

Offers for external candidates are generally made between the minimum and midpoint of the range, based on experience.

At , we value our employees and are committed to providing a comprehensive and competitive benefits package. To keep up with the evolving trends, offers the following for employees who are employed at a 0.5 FTE or higher.

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Basic Life Insurance
• Tuition Reimbursement
• Employer Paid Short-Term Disability and Long-Term Disability
• Adoption Assistance Plan

Qualifications:

• College Certificate, Associate’s Degree, or equivalent related experience required
• Experience in medical billing, patient accounts, or healthcare revenue cycle operations preferred
• Knowledge of insurance payers, billing processes, claim submission, and reimbursement workflows
• Experience with claim follow-up, denial management, and appeals preferred
• Strong attention to detail and effective problem-solving skills
• Proficiency with computers with the ability to learn billing systems, software, and navigate payer websites and portals
• Effective communication to interact with insurance companies, internal departments, team members and patients
• Strong math skills with a basic understanding of the revenue cycle
• Understanding of Provider Based Billing (PBB) preferred
• Ability to manage multiple tasks independently and as part of a team in a fast-paced environment

Job Responsibilities:

• Reviews insurance claims prior to submission to identify and resolve errors, ensuring accurate and timely billing in accordance with payer guidelines.
• Monitors claim status and follows up with insurance carriers on delayed or unpaid claims.
• Reviews and resolves denied claims in collaboration with payers and patients.
• Posts insurance payments, adjustments, and remittance activity accurately to patient accounts.
• Investigates and resolves credit balances and billing discrepancies.
• Responds to internal and external inquiries related to billing and insurance.
• Documents all actions and follow-up activities within the billing system.
• Maintains current knowledge of payer guidelines, updates, payer websites and payer portals.
• Supports development and implementation of department procedures and workflows.
• Participates actively in department meetings, focus groups, training opportunities, and process improvement initiatives.
• Maintains data integrity within billing systems by following established workflows and standards.
• Reviews reports and work queues to support A/R goals.
• Performs other duties as assigned.