PATIENT ACCOUNT REP - INSURANCE

Aultman Health Foundation; Canton (OH); Híbrido; USD 42.000 - 54.000; Jornada completa

Descripción de la vacante

Aultman Health Foundation in Canton, OH seeks a Patient Account Representative for physician practice billing focusing on insurance payers. Primary duties include billing and insurance follow-up to accelerate accounts receivable recovery and strengthen our financial position.

The role requires solid communication skills, accuracy, and the ability to work with others in a hybrid/work-from-home setup. Prior medical office billing experience and familiarity with denials management are preferred.

Formación

• Billing knowledge and comfort with medical billing processes.
• Experience with insurance payers, postings, and denials management is preferred.
• Strong customer service skills and attention to detail are essential.
• Excellent oral and written communication, and ability to work without direct supervision.
• Punctuality and reliable attendance in a healthcare office setting.

Responsabilidades

• Manage outstanding accounts receivable for clients and/or assigned payers.
• Contact payers via phone or websites for claims information and to assist in account resolution.
• Research and resolution of insurance denials for electronic and paper claims.
• Research, prepare and send appeals for payment to payers in collaboration with revenue integrity.
• Identify denial trends to prevent revenue loss and assist payment posters with posting issues.
• Apply credits to appropriate accounts and discuss billing questions with patients with the customer service team.
• Track payer issues for the payer relations team to research.
• Participate in special projects and follow all policies and procedures.

Conocimientos

Billing knowledge

CPC/RHIT certification

Medical office billing

Customer service

Analytical skills

Attendance

Oral and written communication

Self-directed work

Teamwork

Dependable

Herramientas

Microsoft Office

PC skills

Descripción del empleo

Position Summary

Patient Account Representative for medical physician practice billing focusing on insurance payers. Primary responsibilities include billing and insurance follow-up utilizing computer applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Documentation on all collection activity is required in computer applications and must maintain production and quality goals.

Position Summary

Patient Account Representative for medical physician practice billing focusing on insurance payers. Primary responsibilities include billing and insurance follow-up utilizing computer applications to provide accelerated accounts receivable recovery. Focuses on the revenue cycle to optimize revenue, improve cash flow and strengthen our financial position. Documentation on all collection activity is required in computer applications and must maintain production and quality goals.

Qualifications

• 1 year billing preferred, 2-3 years optimal with understanding of insurance, payment posting, and/or denials management
• CPC/RHIT certification-preferred
• Medical office billing experience, PC skills, excellent customer service skills, analytical abilities, excellent attendance
• Strong oral and written communication skills
• Self-directed and capable of working without direct supervision
• Ability to work collaboratively with others
• Dependable in production, quality and attendance

Department Qualifications

• Office Applications
• Problem-Solving
• Time Management
• Teamwork
• Microsoft Office (Word, Excel, Teams)
• Punctuality
• Conflict Resolution
• Organization
• Communicate effectively
• Detail oriented

Responsibilities & Expectations

• Manage outstanding accounts receivable for clients and/or assigned payers.
• Contact payers via phone calls or websites for claims information and to assist in account resolution.
• Research and resolution of insurance denials for electronic and paper claims.
• Research, prepare and send appeals for payment to payers. Work collaboratively with revenue integrity to create appeals.
• Help identify denial trends to prevent loss revenue. Work with payment posters if there are issues with posting codes.
• Apply Credits to appropriate accounts
• Discuss billing questions/issues with patients in collaboration with customer service team members.
• Track payer issues for payer relations team to research
• Work special projects as needed
• Follow all Policies and Procedures

Working Conditions

• Work eight hours a day. Working M-F or hours as required by the job.
• Hybrid/WFH schedule available
• Lunch periods and breaks are coordinated with other staff members to maintain adequate coverage
• Cross training in all areas in the department is required.
• Subject to frequent interruptions and changes in priority of duties throughout the day.
• Ability to work in a cubical setting for long periods of time.

Remarks

• Lifting 0-10 lbs Never
• Lifting 10-20 lbs Never
• Lifting 20-35 lbs Never
• Lifting 35-50 lbs Never
• Lifting 50-75 lbs Never
• Lifting 75-100 lbs Never
• Lifting over 100 lbs Never
• Forward Reaching Continuous 66% of the day
• Computer work Overhead Reaching Occasional 10-33%
• Standing Occasional 10-33%
• Walking Occasional 10-33%
• Sitting Continuous 66% of the day
• Climbing Never
• Stairs/Ladder Never
• Bending/Stooping Never
• Twisting/Turning Kneeling/Squatting Crawling
• Pushing/Pulling 0-10 lbs Never
• Pushing/Pulling 10-20 lbs Never
• Pushing/Pulling 20-35 lbs Never
• Pushing/Pulling 35-50 lbs Never
• Pushing/Pulling 50-100 lbs Never
• Pushing/Pulling over 100 lbs Never
• Carrying 0-10 lbs
• Carrying 10-20 lbs
• Carrying 20-35 lbs
• Carrying 35-50 lbs
• Carrying 50-100 lbs
• Carrying over 100 lbs
• Grasping/repetitive sustained Never
• Fine motor coordination Continuous 66% of the day
• Vision: Near/Far/Color Continuous 66% of the day
• Hearing: ordinary conversation/other Continuous 66% of the day