Healthcare Client Account Representative
We are a Birmingham, Alabama-based healthcare management company in search of an In-office Healthcare Client Account Representative. The Client Account Representative is part of the RCM team, and their duties may include one or more of the following: medical billing, claims processing, processing insurance payments, following up on denied claims, resolving credit balances, and customer service skills. THIS IS AN IN-OFFICE POSITION .
PRIMARY RESPONSIBILITIES:- Processes the insurance component of a patient's obligation through claims processing and payment rules.
- Bills claims appropriately.
- Follows up on denied claims by performing appeals and denial recovery procedures.
- Works denied claim lines and no response claims to resolve outstanding accounts.
- Analyzes credit balances on patient accounts and resolves.
- Insurance verification.
- Experience using Medisys and/or Therabill.
- Responds to refund request letters from insurance carriers.
- Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance companies, continued errors in charges, and any other hindrance to their productivity or collection of A/R.
- Compliance is a condition of employment and is considered an element of job performance.
- Maintain HIPAA confidentiality.
- Demographic Processing.
- Analytical and problem-solving abilities.
- Provide excellent customer service through phone calls and emails.
- High level of time management and organizational skills.
- End-of-the-month report generation and list of all accounts not worked.
- Performs other duties as assigned.
EDUCATION:
- High school diploma or equivalent (Required).
- Associate degree (Preferred).
EXPERIENCE:
- At least five years of experience preferred.
- Medical background or previous insurance billing desired.
- Experience using Medisys preferred.
- Experience using Therabill preferred.
- Experience with workers' compensation preferred.
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