Patient Accounting Representative Ii - Claims

6

United States of America
Process insurance claims
Follow-up on patient accounts
Electronic claim processing
Responsible for processing insurance claims in a timely and accurate manner as well as performing timely and effective follow-up on patient accounts in order to insure prompt payment in accordance with insurance payer and established guidelines

Job Summary

  • Responsible for processing insurance claims in a timely and accurate manner as well as performing timely and effective follow-up on patient accounts in order to insure prompt payment in accordance with insurance payer and established guidelines.
  • Correct claims with pre-bill rejections/warnings for both electronic and hardcopy claims on daily worklist and provide payer with the necessary billing information to expedite payment in accordance with insurance payer guidelines.
  • Maintains current knowledge of CPT / HCPCS and ICD-10 coding in accordance with insurance payer guidelines for UB92 and 1500 claim forms.

Matching Summary

Responsible for processing insurance claims in a timely and accurate manner as well as performing timely and effective follow-up on patient accounts in order to insure prompt payment in accordance with insurance payer and established guidelines.

Skills & Requirements

Must-have

  • process insurance claims
  • follow-up on patient accounts
  • electronic claim processing
  • respond to payer remittance denials
  • maintain knowledge of coding guidelines

Nice-to-have

  • positive and helpful attitude
  • effective working relationships

Key Requirements

  • Minimum four years previous experience in healthcare
  • Two years of claim processing experience
  • High school graduate or equivalent required
  • General PC operational knowledge and skills

Work Rights

Not specified

Tailored Resume

Cover Letter