Healthcare Client Account Representative

Kassouf Healthcare Solutions, LLC; Birmingham (AL); On-site; USD 40,000 - 55,000; Full time

Job summary

Kassouf Healthcare Solutions, LLC is seeking an in-office Healthcare Client Account Representative in Birmingham, AL. The role involves medical billing, claims processing, insurance payments, and denials follow-up, with a strong emphasis on customer service and HIPAA compliance.

Responsibilities include processing insurance claims, billing, denial appeals, verifying insurance, and generating end-of-month reports.

Qualifications

• High school diploma or equivalent (Required).
• Associate degree (Preferred).
• At least five years of experience preferred.
• Medical background or previous insurance billing desired.
• Experience using Medisys preferred.
• Experience using Therabill preferred.
• Experience with workers' compensation preferred.

Responsibilities

• Processes the insurance component of a patient's obligation through claims processing and payment rules.
• Bills claims appropriately.
• Follows up on denied claims by performing appeals and denial recovery procedures.
• Works denied claim lines and no response claims to resolve outstanding accounts.
• Analyzes credit balances on patient accounts and resolves.
• Insurance verification.
• Responds to refund request letters from insurance carriers.
• Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance companies, continued errors in charges, and any other hindrance to their productivity or collection of A/R.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA confidentiality.
• Demographic Processing.
• Analytical and problem-solving abilities.
• Provide excellent customer service through phone calls and emails.
• High level of time management and organizational skills.
• End-of-the-month report generation and list of all accounts not worked.
• Performs other duties as assigned.

Skills

Customer service

Analytical skills

Time management

Organizational skills

HIPAA compliance

Education

High school diploma or equivalent

Associate degree

Tools

Medisys

Therabill

Job description

We are a Birmingham, Alabama-based healthcare management company in search of an In-office Healthcare Client Account Representative. The Client Account Representative is part of the RCM team, and their duties may include one or more of the following: medical billing, claims processing, processing insurance payments, following up on denied claims, resolving credit balances, and customer service skills. THIS IS AN IN-OFFICE POSITION.

PRIMARY RESPONSIBILITIES:

• Processes the insurance component of a patient's obligation through claims processing and payment rules.
• Bills claims appropriately.
• Follows up on denied claims by performing appeals and denial recovery procedures.
• Works denied claim lines and no response claims to resolve outstanding accounts.
• Analyzes credit balances on patient accounts and resolves.
• Insurance verification.
• Experience using Medisys and/or Therabill.
• Responds to refund request letters from insurance carriers.
• Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance companies, continued errors in charges, and any other hindrance to their productivity or collection of A/R.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA confidentiality.
• Demographic Processing.
• Analytical and problem-solving abilities.
• Provide excellent customer service through phone calls and emails.
• High level of time management and organizational skills.
• End-of-the-month report generation and list of all accounts not worked.
• Performs other duties as assigned.

EDUCATION:

• High school diploma or equivalent (Required).
• Associate degree (Preferred).

EXPERIENCE:

• At least five years of experience preferred.
• Medical background or previous insurance billing desired.
• Experience using Medisys preferred.
• Experience using Therabill preferred.
• Experience with workers' compensation preferred.