Senior Patient Accounts & Denials Specialist

Manet Community Health Center, Inc.; Quincy (MA); Vor Ort; USD 52.000 - 70.000; Vollzeit

Zusammenfassung

Manet Community Health Center, Inc. is seeking a Patient Account Representative III to manage aged accounts receivable and engage with multiple insurance payers to resolve unpaid balances. This role requires familiarity with government and payer guidelines and strong communication with insurers and internal teams.

The position emphasizes accuracy, confidentiality, and problem solving in a fast-paced healthcare billing environment. Evening or weekend shifts may be required per department needs.

Qualifikationen

• High School Diploma or equivalent.
• Basic working knowledge of computers and office procedures.
• Must have strong customer/communication skills.
• Medical Coding and/or billing experience a must
• Must be able to read and write English.
• At least two years of experience as a Patient Account Representative in a healthcare setting.

Aufgaben

• Responsible for aged accounts receivables. Inquire to PMS and insurance companies and establishing contacts regarding the status of unpaid balances. Identify and apply problem-solving techniques, i.e., (appeals, etc.).
• Maintains familiarity with billing information and procedural requirements of government and insurance payers as well as discount programs Manet CHC offers. Maintains knowledge of guidelines of our billing procedures and requirements;
• Participates in meetings, training and other internal and external review and audit activities as requested by immediate supervisor and through management guidance;
• Under direction of the Patient Accounts Supervisor, provides back-up for all functions in the billing department, including support to the Patient Account Supervisor in training of new staff as required;
• Demonstrates commitment to performance improvement and identifies problems and recommends changes as needed;
• Responsible for the accounts receivable. Monitor and follow-up with sources of problems and take the corrective actions needed, which include denial management;
• Demonstrates respect for confidentiality in processing information related to patient accounts and insurance information; and
• Performs other related duties as required or assigned.

Kenntnisse

Strong communication

Customer service

Attention to detail

Reading and writing English

Fast-paced environment

Ausbildung

High School Diploma or equivalent

Tools

PMS

Billing software

Microsoft Office

Jobbeschreibung

Manet Community Health Center, Inc. is seeking a Patient Account Representative III to manage aged accounts receivable and engage with multiple insurance payers to resolve unpaid balances. This role requires familiarity with government and payer guidelines and strong communication with insurers and internal teams.

The position emphasizes accuracy, confidentiality, and problem solving in a fast-paced healthcare billing environment. Evening or weekend shifts may be required per department needs.