Patient Account Representative
Hybrid · Nashville, Tennessee, United States
Job Summary
Patient Account Representative responsible for researching and rectifying third-party healthcare insurance denials, edits, requests for information, and related correspondence. Responsible for reviewing and appealing denied claims for bundling, medical coding, and contracting issues; timely follow-up on all appeal submissions; processing of corrected claims and assisting with timely turnaround for medical documentation requests; providing follow-up and feedback to leadership; coordinating with other departments to ensure aged AR is actively managed; generating and reviewing reports to ensure AR is actively worked. Requires 3+ years in insurance accounts receivable, knowledge of payer-specific billing requirements, strong organizational skills, meticulous attention to detail, and customer service ability in interactions with insurance companies and internal teams.
Required Qualifications
- 3+ years of experience in insurance accounts receivable
- knowledge of payer-specific billing requirements
- ability to track workflows with multiple tools
- strong attention to detail and organizational skills
- customer service skills with insurance companies
- ability to maintain confidentiality of medical information
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