Patient Account Representative – Physician Claims

Jobtailor; California (MO); On-site; USD 38,000 - 54,000; Full time

Job summary

Jobtailor seeks a Billing Specialist to handle billing processes, AR follow-up, and account resolution in a healthcare environment. You will work with third-party payers, document notes, and ensure HIPAA compliance.

The role requires 0-2+ years in related fields, strong knowledge of billing and remittance reports, and proficiency with Windows and Office tools. This position emphasizes accuracy and independent work.

Qualifications

• Requires a High School Diploma or GED; or 3 years of relevant experience in lieu of diploma.
• 0-2+ years of experience in office, business, operations, customer service or healthcare field.
• Extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines, remittance advices and electronic billing reports.

Responsibilities

• Perform billing processes, follow-up, account resolution, adjustments and scanning.
• Contact third-party payers and guarantors via payer websites or phone to resolve account balances.
• Process correspondence within 24 hours and document notes in the client system.
• Work denials and submit appeals for non-clinical denials.
• Monitor denial trends and report findings to the supervisor.
• Bill or rebill claims as necessary.
• Ensure compliance with state and federal billing and HIPAA rules and regulations.
• Complete assigned special projects within specified time frames.
• Attend client and third-party payer training sessions and seminars.
• Document worked accounts in the client practice management system.
• Make corrections and update patient demographic or insurance information.
• Resolve or forward address and plan changes.
• Post adjustments according to procedures or leadership direction.
• Handle internal and external customer calls professionally.
• Collaborate with other departments to support departmental and facility goals.

Skills

Billing

Accounts Receivable

HIPAA Compliance

Denial Management

Insurance Portals

Windows PC Skills

Education

High School Diploma / GED or 3 years of relevant equivalent experience

Tools

Client Practice Management System

Microsoft Word

Microsoft Excel

Job description

• Perform billing processes, follow-up, account resolution, adjustments and scanning
• Contact third-party payers and guarantors via payer websites or phone to resolve account balances
• Process correspondence within 24 hours and document notes in the client system
• Work denials and submit appeals for non-clinical denials
• Monitor denial trends and report findings to the supervisor
• Bill or rebill claims as necessary
• Ensure compliance with state and federal billing and HIPAA rules and regulations
• Complete assigned special projects within specified time frames
• Attend client and third-party payer training sessions and seminars
• Document worked accounts in the client practice management system
• Make corrections and update patient demographic or insurance information
• Resolve or forward address and plan changes
• Post adjustments according to procedures or leadership direction
• Handle internal and external customer calls professionally
• Collaborate with other departments to support departmental and facility goals

Requirements

• High School Diploma / GED or 3 years of relevant equivalent experience in lieu of Diploma / GED
• 0-2+ year's experience in office, business, operations, customer service or healthcare field
• Extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines, remittance advices and electronic billing reports
• Previous experience working with insurance portals
• PC skills in a Windows environment
• Knowledge and utilization of desktop applications including Word and Excel
• Ability to initiate and follow through on projects and work independently with minimal supervision

Core Competencies

Demonstrates expertise in billing processes, accounts receivable follow-up, and compliance with HIPAA regulations. Proficient in utilizing desktop applications and managing customer interactions effectively.

Highest-signal resume keywords

• Billing Processes
• Accounts Receivable Follow-Up
• Insurance Portals Experience
• HIPAA Compliance
• PC Skills in Windows Environment

Hard Skills

• Billing
• Account Resolution
• Timely Filing Guidelines
• Remittance Advices
• Electronic Billing Reports
• Documenting Notes
• Denial Management
• Adjustments Processing
• Patient Demographic Updates
• Project Initiation

Soft Skills

• Professional Communication
• Independent Work
• Collaboration

Industry Keywords

• Healthcare Billing
• Customer Service
• Third-Party Payers
• Denial Trends Monitoring
• Special Projects

Tools & Technologies

• Client Practice Management System
• Microsoft Word
• Microsoft Excel