Patient Account Representative – Hospital Experience

🔥 2 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

🚫👨‍🎓 No degree required

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Med-Metrix

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

☁️ SaaS

🔥 Funding within the last year

💰 Private equity on 2025-09

Healthcare • SaaS

Med-Metrix is a company for which only a minimal web presence was provided (the page only displayed "Loading application... Your web browser must have JavaScript enabled... "). No product, market, or mission details were included in the supplied text. Based on the company name alone, it plausibly focuses on medical or clinical metrics, analytics, or healthcare software, but that is speculative and not confirmed by the provided information. Further public details would be required to be more specific.

📋 Description

• 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

🎯 Requirements

• 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