Insurance Patient Account Representative

Bryn Mawr Medical Specialists Association, Ltd; Bryn Mawr (PA); Vor Ort; USD 23.000 - 32.000; Vollzeit

Benefits dieser Stelle

Disability insurance

Health insurance

Paid time off

Vision insurance

401K

Profit Sharing Plan

PTO

Zusammenfassung

Bryn Mawr Medical Specialists Association, Ltd seeks an Insurance Patient Account Representative to manage insurance A/R for assigned physicians. You will follow up on unpaid claims, investigate denials, and assist patients with balance explanations.

The role requires strong communication, knowledge of ICD-10/CPT codes, and independent work in a busy office. Benefits include health insurance, PTO, and 401(k). This is a full-time position in Bryn Mawr, PA.

Qualifikationen

• High school diploma or GED required.
• Previous insurance A/R experience preferred.
• Ability to understand an Explanation of Benefits and denial codes.

Aufgaben

• Examine and timely follow up on unpaid claims.
• Complete investigations and/or appeals of rejected or denied claims.
• Communicate with staff for claim corrections.
• Identify claims requiring managerial review and assistance.
• Assist patients in understanding insurance denials and cost sharing.
• Identify trends in denial/ rejection patterns.
• Make corrections to CPT/DX codes, referrals, and authorizations as directed by departments.
• Perform additional duties as assigned by management.

Kenntnisse

Customer service

Clear communication

Independent work

Attention to detail

Ausbildung

High school diploma or GED

Tools

EMR software

Intergy

Jobbeschreibung

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Patient Account Representative

Insurance Patient Account Representative

Job Description

The Bryn Mawr Medical Specialists Association Business Office is looking to add a full-time Insurance Representatives to their team. As an Insurance Representative, your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include, but not be limited to, timely follow up on claims rejected or denied by our clearinghouse and/or the patient's insurance carrier, completion of investigations and appeals according to the prescribed policies of the carrier, communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances.

Functions/Responsibilities:

• Examination and timely follow up on unpaid claims
• Completions of investigations and/or appeals of rejected or denied claims
• Communication with department staff members regarding required items for claims corrections
• Identification of claims requiring managerial review and assistance
• Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed
• Facilitate the identification or rejection and denial trends
• Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments
• Completion of additional duties as assigned by management

Qualifications:

• High school diploma of GED required
• Previous insurance A/R experience preferred
• Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes
• General knowledge of ICD-10 and CPT codes
• Customer Service
• Ability to communicate clearly and concisely
• Knowledge of insurances, coverage guidelines, and payment policie
• Self-starter with the ability to work independently in the furtherance of the goals of the team
• Experience with patient accounting and EMR software
• Intergy experience preferred

Job Type: Full-time

• Disability insurance
• Health insurance
• Paid time off
• Vision insurance
• $20 per hour
• 401K

- $20 per hour

- Medical, Vision, and Dental insurance

- 401(k)

- Profit Sharing Plan

- PTO

- Benefits, PTO, and Holiday Pay are only available to employees working 24 hours or more per week

The potential base pay range for this position is $20 per hour.

The pay range listed in this job posting is a good faith determination of potential base compensation that may be offered and is not a guarantee of a particular wage. Actual base pay will vary and is commensurate with the applicant’s knowledge, experience, education, skills, training, certifications, and qualifications required for the role. In addition, the listed pay range is based on factors at the time of this job posting and may be modified in the future based on market data, internal equity, and the budget of the department hiring for this position. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. Benefits, PTO, and Holiday Pay are only available to employees working 24 hours or more per week.

For questions or concerns, please contact Ali Parrott at [e-mail] or 484-272-3270 ext. 3026.