Patient Account Representative – Hospital Experience

🕒 2 dias atrás

🔔 Pennsylvania – Remoto

🔔 Pennsylvania – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

💰 Gerente de Contas

🚫👨‍🎓 Sem graduação necessária

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Med-Metrix

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2010

🏥 Saúde

☁️ SaaS

🔥 Investimento no último ano

💰 Private equity em 2025-09

Healthcare • SaaS

A Med-Metrix é uma empresa para a qual foi fornecida apenas uma presença mínima na web (a página apenas exibia "Carregando aplicativo... Seu navegador precisa ter o JavaScript habilitado... "). Nenhum produto, mercado ou detalhes de missão foram incluídos no texto fornecido. Com base apenas no nome da empresa, é plausível que foque em métricas médicas ou clínicas, análises ou software para a área de saúde, mas isso é especulativo e não confirmado pelas informações fornecidas. Mais detalhes públicos seriam necessários para ser mais específico.

Descrição

• Follow up with payers by phone, email, fax, or websites to resolve outstanding claims • Review and update patient and financial information • Verify responsible parties and insurance information for payment • Monitor billing accuracy and correct errors • Monitor Medicaid/Healthy Options coupons and billing timeframes • Bill hospital services to primary insurers or patients accurately and promptly • Explain hospital payment regulations and maintain knowledge of insurance regulations and hospital contracts • Identify and report underpayments and denial trends • Analyze and resolve causes of payer payment delays and initiate appeals • Manipulate Excel spreadsheets and communicate results • Meet departmental productivity and quality standards • Maintain confidentiality and comply with HIPAA and information security policies • Use, protect, and disclose PHI only as permitted by HIPAA • Perform other assigned duties

🎯 Requisitos

• High School Diploma or equivalent required • Medical Billing and Coding certification preferred, but not required • Experience in Hospital/Facility billing required • 2-3 years’ experience in insurance collections, including submitting and following up on claims • Basic knowledge of healthcare claims processing, including ICD-9/10, CPT, HCPC codes, and UB-04 • Ability to use workflow and client host systems such as STAR, SMS, EAGLE, and EPIC • Working knowledge of insurance follow-up processes and healthcare reimbursement methodologies • Understanding of government, Medicare, and Medicaid claims • Basic math and typing skills • Proficiency with Microsoft Office Suite • Strong interpersonal, written, and verbal communication skills • Strong problem-solving and creative skills • Ability to exercise sound judgment and make decisions based on accurate and timely analyses • High level of integrity and dependability, with a strong sense of urgency and results orientation • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to follow directions, collaborate with others, and handle stress