Patient Financial Services Representative
Hybrid · Nashville, Tennessee, United States
Job Summary
Research and rectify third-party healthcare insurance denials, edits, requests for information, and other related correspondence. Support other RCM departments in identifying and analyzing open claims, as well as correct billing errors. The Accounts Receivable Representative must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines in multiple states and demonstrate effective judgment when processing all claims. Maintain aged insurance accounts receivable (AR) queues, review and appeal denied claims for bundling, medical coding, and contracting related issues, follow up on all appeal submissions, assist with timely turnaround for medical documentation requests, provide feedback to leadership, and collaborate with other departments to ensure smooth operation. Generate and review necessary reports to ensure AR is actively worked and maintained.
Required Qualifications
- 3+ years of experience in insurance accounts receivable (AR)
- Knowledge of payer-specific billing requirements
- Highly organized and able to track workflows
- Strict attention to detail with excellent organizational skills
- Customer service skills to work with insurance companies and teammates
- Maintain a high level of integrity and confidentiality of medical information
- Able to work a hybrid schedule of 4 days/week in the Nashville office and located within 75 minutes' commuting distance of the office
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