Patient Account Representative

🕒 il y a 1 jour

🗽 New York – Distant

🗽 New York – Remote

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

💰 Responsable de comptes

🚫👨‍🎓 Aucun diplôme requis

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Med-Metrix

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2010

🏥 Santé

☁️ SaaS

🔥 Financement dans la dernière année

💰 Private equity en 2025-09

Healthcare • SaaS

Med-Metrix est une entreprise pour laquelle seule une présence web minimale a été fournie (la page affichait uniquement « Chargement de l'application... Votre navigateur web doit avoir le JavaScript activé... »). Aucun détail sur le produit, le marché ou la mission n'était inclus dans le texte fourni. En se basant uniquement sur le nom de l'entreprise, il est plausible qu'elle se concentre sur les métriques médicales ou cliniques, l'analyse ou les logiciels de santé, mais cela reste spéculatif et non confirmé par les informations fournies. Des détails publics supplémentaires seraient nécessaires pour être plus précis.

Description

• Follow up with payers by phone, email, fax, or websites to resolve outstanding claims • Review and update patient and financial information • Verify responsible individuals or insurance companies for bill payment • Monitor billing accuracy and correct known errors • Monitor Medicaid/Healthy Options coupons to ensure timely billing • Bill hospital services to primary insurers or patients within expected timeframes • Explain hospital payment regulations and maintain knowledge of insurance regulations and hospital contracts • Identify and report underpayments and denial trends • Analyze and resolve payer payment delays and initiate appeals when necessary • Manipulate Excel spreadsheets and communicate results • Meet departmental productivity and quality standards • Interact professionally with patients, insurance payors, coworkers, management, and clients • Maintain confidentiality and handle protected health information according to HIPAA standards • Comply with Information Security and HIPAA policies and procedures • Limit PHI access to the minimum necessary • Perform other assigned duties

🎯 Exigences

• 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 and healthcare reimbursement methodologies • Understanding of government, Medicare, and Medicaid claims • Proficiency with Microsoft Office Suite, including Excel and Word • Basic math and typing skills • Strong interpersonal, written, and verbal communication skills • Strong problem-solving and creative skills, with sound judgment and timely analysis • High integrity, dependability, urgency, and results orientation • Gracious and welcoming customer-service personality • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to perform the stated physical and mental demands, including sitting, manual tasks, computer and telephone operation, following directions, collaboration, and handling stress

🏖️ Avantages

• Multifactor authentication and security device requirement (smart-phone or electronic device capable of downloading applications)