Patient Account Representative I, Patient Financial Services, Full-time (2479)

Priority Dispatch Corp.; Jacksonville (FL); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Benefits package

Vacation/Paid Time Off

Retirement Plan

Clinical Education and Professional De

Job summary

Priority Dispatch Corp. is seeking a Patient Accounts Specialist to manage follow-up on outstanding medical claims and resolve balances with patients and insurers. You will review remittance reports, address denials, and submit claims or appeals to carriers to secure payment.

The role requires attention to detail, strong communication skills, and experience with CPT/HCPCS/ICD-10 coding, Microsoft Office, and medical terminology. Monday–Friday, 40 hours, on-site in Jacksonville, FL.

Qualifications

• High school graduate with 3 years related experience.
• Knowledge of CPT, HCPCS and ICD-10 coding procedures.
• Experience with medical terminology.
• Strong written and oral communication skills.
• Detail oriented with good problem solving.

Responsibilities

• Follows up on outstanding claims.
• Manages denials and resubmissions.
• Documents all account activity clearly.
• Requests medical records as needed to resolve accounts.
• Performs daily account follow-up in the Patient Account system.
• Mails or submits claims electronically.
• Verifies payment schedules and account numbers.
• Analyzes data for contract compliance with HMO/PPO plans.
• Corrects bad addresses as necessary.
• Aims for optimal collections for AR < 90 days.
• Adheres to Brooks Rehabilitation policies and procedures.

Skills

Communication skills

Problem solving

Troubleshooting

Attention to detail

Medical terminology

Data spreadsheets

Computer literacy

Education

High School diploma

Tools

Microsoft Office

Job description

DescriptionResponsible for all duties involved with the follow-up and prompt collections of medical claims. All outstanding claims must be resolved in a timely manner. Responsible for contacting patients and/or insurance companies to resolve account balances. Review remittance reports for denials, errors and resubmits claims with correct data. Submit claims and/or appeals requests to insurance carriers for payment and adjustments. Monitor accounts for reversal of payments, must understand and complete all Credit Balance Reporting when directed. Respond to patient questions, problems or complaints in a courteous and professional manner.Responsibilities:Follows up on outstanding claims.Works all denials manually and/or electronically by using the designated systems on a timely basis, report problems to Supervisor/Manager.Documents all accounts clearly and concisely of all activity and resolve all accounts through final collections, initiates appropriate collection letters on patient liability.Request medical record documentation as required to resolve the account.Performs daily account follow-up using the worklist in Patient Account system.Mails or submits claims electronically.Verify payment schedules for correct allowances and account numbersAccumulates, prepares, and analyzes data necessary for contract compliance of HMO and PPO plans.Correct bad addresses as necessary.Strive for optimal collections pertaining to account receivables less than 90 days.Adheres to all Brooks Rehabilitation policies and procedures.Qualifications:High School graduate with 3 years job related experience in physician/hospital Business Office or CBO.Additional qualification includes Microsoft Office.Knowledge of CPT, HCPCS and ICD-10 coding procedures.Working Experience with medical terminology.Detailed oriented.Great communications skills, both written and oral.Computer literate.In-depth working knowledge of Government and Managed Care insurance carriers preferred.Must have problem solving and troubleshooting skills.Working experience with data spreadsheetsLocation : 1101 Samuel Wells Complex, Suite 1102, Jacksonville, FL 32216Hours: Monday - Friday, 40 hours per weekThriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:Competitive PayComprehensive Benefits packageVacation/Paid Time OffRetirement PlanEmployee DiscountsClinical Education and Professional Development ProgramsQualifications