Patient Account Representative

🕒 2 dias atrás

🏖️ New Jersey – Remoto

🏖️ New Jersey – 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 to ensure timely resolution of outstanding claims via phone, email, fax, or websites • Review and update patient and financial information accurately • Verify the individual or insurance company responsible for payment • Monitor billing accuracy and correct known errors • Monitor Medicaid/Healthy Options coupons to ensure services are billed within expected timeframes • Bill hospital services correctly to primary insurers or patients • Follow up with insurance companies on assigned accounts • Explain hospital payment regulations and maintain knowledge of insurance regulations and hospital contracts • Identify and report underpayments and denial trends • Analyze and resolve issues causing payer payment delays and initiate appeals when necessary • Manipulate Excel spreadsheets and communicate results • Meet daily productivity and quality standards • Perform special projects and other duties as assigned • Maintain confidentiality and handle protected health information according to HIPAA standards

🎯 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 the insurance follow-up process and healthcare reimbursement methodologies • Understanding of government, Medicare, and Medicaid claims • Proficiency with Microsoft Office, including Excel and Word • Ability to work individually and in a team environment • Strong organizational, communication, and written skills • Basic math and typing skills • Ability to follow directions, collaborate with others, and handle stress • Ability to perform the listed physical and office-equipment-related duties