Patient Account Representative, Medicare/Medicaid

🔥 0 minutes ago

⚔️ Virginia – Remote

⚔️ Virginia – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Account Manager

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Perform collections, account follow-up, and billing allowance posting for assigned accounts • Follow up with payers via phone, email, fax, or websites to resolve outstanding claims • Review and accurately update patient and financial information • Verify the individual or insurance company responsible for payment • Monitor billings for accuracy and correct errors • Monitor Medicaid/Healthy Options coupons to ensure services are billed within expected timeframes • Bill hospital services correctly and timely to primary insurers or patients • 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; initiate appeals when necessary • Manipulate Excel spreadsheets and communicate results • Meet departmental daily productivity and quality standards • Interact professionally with patients, insurance payors, coworkers, management, and clients • Maintain confidentiality and handle protected health information according to HIPAA and information security policies • Limit PHI access to the minimum necessary • Perform other duties as assigned

🎯 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 the insurance follow-up process and healthcare reimbursement methodologies • Understanding of government, Medicare, and Medicaid claims • Basic math and typing skills • Proficiency with Microsoft Office Suite • Strong interpersonal and 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 • Excellent written and verbal communication skills required • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes • Ability to perform stated physical tasks and operate office equipment • Ability to follow directions, collaborate with others, and handle stress

🏖️ Benefits

• Smart-phone or electronic device capable of downloading applications provided/required for multifactor authentication and security purposes • Equal employment opportunity and non-discrimination protections