- Using established protocols, monitor, research and update patient accounts to reconcile and maximize reimbursement.
- Answers patient, insurance calls and correspondence resolving questions in a time frame that meets or exceeds department standards.
- Acts as liaison between Patient Accounts and physician offices, insurance carriers and other third-party payers to assist with questions and resolve unpaid accounts.
- Follow guidelines to adjust accounts based upon the patient/account status (deceased patient, small balance, charity, etc.).
Requirements
- 1 year of functional experience using Microsoft Office products (Word, Excel)
- Associate's Degree in a business-related field (preferred)
- Upon hire: CRCR Certification (preferred)
- 1 year of experience in either physician/hospital billing or other healthcare business setting (preferred)
- 3 months of successful customer service experience with patients and insurers (preferred)
- 1 year of Collection experience (preferred)
- 1 year of experience using EPIC, pay span and insurance portals (preferred)
Core Competencies
Demonstrates expertise in patient account reconciliation and reimbursement maximization, utilizing tools such as EPIC and insurance portals. Strong communication skills are essential for effectively liaising with patients, insurance carriers, and physician offices.
Highest-signal resume keywords
- Patient Account Reconciliation
- EPIC Experience
- CRCR Certification
- Healthcare Billing Experience
- Customer Service Experience
ATS Optimization Keywords
Hard Skills
- Patient Account Management
- Reimbursement Maximization
- Collection Experience
- Insurance Claims Processing
- Data Entry
Soft Skills
- Communication Skills
- Problem-Solving
- Time Management
Certifications & Qualifications
Industry Keywords
- Healthcare Billing
- Patient Accounts
- Insurance Carriers
- Third-Party Payers
- Charity Adjustments
Tools & Technologies
- Microsoft Office
- EPIC
- Insurance Portals
- Pay Span