Patient Account Representative Professional

Infor

Marshall (MI)

On-site

USD 36,000 - 48,000

Full time

8 days ago
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Job summary

Infor in Marshall, MI is seeking a Patient Account Representative to handle daily billing of claims to third-party payers, follow-up, and tracking claim status to ensure timely processing and payment. You will review bills for accuracy, maintain complete account histories, and address denials, returns, and information requests per policy, while performing daily follow-up activities to maximize cash flow.

The role emphasizes attention to detail, knowledge of medical terminology, and strong

Qualifications

  • Must be 18 years of age with at least 6 months insurance billing experience.
  • Knowledge of third-party billing and claims processing; familiarity with ICD-10 and CPT coding is preferred.
  • Strong verbal communication, interpersonal, and analytical thinking skills; ability to adapt to change.

Responsibilities

  • Billing all claims daily and reviewing for accuracy before submission.
  • Maintain a clear, complete history on each account per procedure.
  • Review denials, mail, returns, rejections, appeals and information requests promptly.
  • Perform daily follow-up on accounts according to established procedures.

Skills

Insurance billing
Claims processing
Medical terminology
ICD-10
CPT coding
Computer skills
Verbal communication
Critical thinking

Job description

Job Summary:

The Patient Account Representative is responsible for the daily billing of claims to third party payers, follow-up, and “status” of claims to ensure timely and appropriate processing and payment.

Essential Functions:
  • Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
  • Processes billing daily, reviewing bills for correctness and completeness prior to submission.
  • Maintains a clear, concise, and complete history on each account according to established procedure.
  • Reviews and works denials, mail, returns, rejections, appeals, refunds and requests for additional information as per policy in a timely and accurate manner.
  • Understands and performs follow-up processes for accounts on a daily basis and works accounts according to established procedure.
Minimum Qualifications:

18 years of age. Six (6) months previous insurance billing experience.

Knowledge, Skills & Abilities:

Knowledge of third-party billing and claims processing, knowledge of medical terminology, computer experience, and computer skills, including keyboarding. Knowledge of ICD-10, CPT Coding and previous experience in a health care setting preferred. Need excellent verbal communication, interpersonal, and critical thinking skills, and the ability to adapt to frequent change.

Working Conditions:

Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements:

Constantly sit, see/visual acuity. Frequently handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.

Location:

Marshall, 200 N. Madison, Marshall, MI 49068

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