Patient Account Rep / Medical Accounts Receivable

Job Title: Patient Account Rep

Type: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m.

Job Summary: The Patient Account Representative is responsible for denial management; investigating and 

resolving insurance denials, claim editing and submission, payment posting and collections.

Job Duties: 
 Monitor and track claims processed to ensure prompt reimbursement.

•  Daily review of denials and payment discrepancies from insurance
•  Investigate and resolve insurance claim denials, rejections, and discrepancies.
•  Identify and pursue opportunities for improvements in denial performance.
•  Assist in reconciling accounts receivable and follow up on outstanding balances as needed.

Competencies: 

•  Prior work experience in medical billing setting a must.
•  Preferred work experience in claims denial management
•  Understanding of medical terminology and coding
•  Organized; sets priorities; meets deadlines.

Skills and Abilities:

•  Ability to work independently and in a team environment.
•  Ability to maintain a positive attitude.
•  Detailed-oriented
•  Strong work ethic

Education: Minimum High School Diploma or GED

Medical A/R, Denial Management: 1 year