Patient Account Representative-Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading company is seeking a Patient Account Representative to manage accounts efficiently within the revenue cycle. The role requires strong communication skills and the ability to resolve claims with minimal assistance. Candidates should have experience in medical claims and a solid understanding of insurance billing processes.

Qualifications

• 1-4 years of medical claims or hospital collections experience required.
• Typing speed of at least 45 wpm.

Responsibilities

• Interact professionally with insurance plans, patients, and team members.
• Document all actions clearly in the patient accounting system.

Skills

Communication

Analytical Skills

Interpersonal Skills

Education

High School diploma

Some college

Tools

Microsoft Office

Job description

Join to apply for the Patient Account Representative-Remote role at Conifer Health Solutions

Job Summary

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.

Responsibilities

1. Interact professionally with insurance plans, patients, physicians, attorneys, and team members.
2. Use computer systems and payer websites to access and discern data for account resolution.
3. Document all actions clearly in the patient accounting system.
4. Meet productivity and quality standards set by leadership.
5. Identify issues and communicate them promptly.
6. Support team members as needed.

Essential Duties

• Research accounts, contact payors and patients, resolve issues, update information, and create disputes as necessary.
• Participate in meetings and training to enhance knowledge.
• Ensure compliance with applicable laws and regulations.

Qualifications

• High School diploma or equivalent; some college preferred.
• 1-4 years of medical claims or hospital collections experience.
• Typing speed of at least 45 wpm.

Skills and Abilities

• Understanding of revenue cycle processes and insurance billing.
• Proficiency in Microsoft Office and hospital systems.
• Strong communication and interpersonal skills.
• Analytical and decision-making skills.