Patient Account Representative, Hospital Biller (Remote)

ScionHealth; Brentwood (TN); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare company is seeking a Patient Account Representative, Hospital Biller to join their remote team. The role involves managing medical billing processes, ensuring accurate claims submission, and handling collections. Ideal candidates will have a strong background in hospital billing and effective communication skills.

Qualifications

• 2+ years hospital or physician billing experience preferred.
• Knowledge of medical billing systems and terminology.
• High School Diploma or GED required.

Responsibilities

• Correct, complete, and process claims for all payer codes.
• Follow up with Medicare on unpaid accounts identified through aging reports.
• Analyze and ensure claims are accurately sent to insurance companies.

Skills

Effective verbal and written communication

Ability to work independently

Basic accounting skills

Strong customer service skills

Knowledge of medical billing and terminology

Education

High School Diploma or GED

Tools

Epic

SSI

Microsoft Excel

Microsoft Word

Job description

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This is a remote work opportunity.

Job Summary:

The medical billing and Medicare specialist is responsible for ensuring accurate billing, timely submission of claims, monitoring claim status, researching rejections and denials, documenting account activities, posting adjustments, and collections of Medicare. The specialist must demonstrate proficiency with billing systems to ensure efficient claims processing.

Responsibilities:

• Correct, complete, and process claims for all payer codes.
• Analyze and ensure claims are accurately sent to insurance companies.
• Follow up with Medicare on unpaid accounts identified through aging reports.
• Process appeals online or via paper submission.
• Assist with billing audits.
• Identify billing and reimbursement trends; report to management.
• Work A/R collection opportunities on unpaid claims.
• Maintain productivity and quality standards.
• Utilize resources like payor websites and analytics for collections.
• Obtain claim payment status, amount, and date from insurance companies.
• Identify payment issues and work with relevant departments to resolve.
• Escalate problem claims to management with clear explanations.
• Void invalid claims and upload or mail documentation as needed.
• File appeals and reconsideration requests per protocols.
• Review and submit overpayment notifications.
• Participate in A/R clean-up projects.
• Own assigned tasks and perform other duties as needed.
• Communicate effectively with customers and team members.

Qualifications:

• High School Diploma or GED.
• Knowledge of systems like Epic, SSI, Microsoft Excel, Word (preferred).
• 2+ years hospital or physician billing experience (preferred).

Skills and Abilities:

• Effective verbal and written communication.
• Ability to work independently.
• Basic accounting skills.
• Strong customer service skills.
• Knowledge of medical billing and terminology.