Patient Account Representative

Remote opportunity, must be able to utilize your own equipment
Pay - 21 to 22 an hour, weekly pay, direct deposit
Hours - Mon to Fri 8am to 5pm
Contract opportunity - anticipated to be 5 to 6 months, could get extended based on work load

Day to day:
Work through the oldest denials - United, commercial and government denials
Training: hands on and assigned a senior who will train and audit their work - learning EPIC application
EPIC experience preferred and insurance follow up / billing experience
Metrics - 6-7 claims per hour, metrics for productivity, reviewing for annual, quality 95% or greater
Physician billing facility

Primary Functions:
Apply extensive knowledge of multiple contracts, agreements and government guidelines regulations to submit, post, research and or resolve accounts or claims.
Communicate via phone with various representatives, both internally and externally is necessary.
Analyze multiple sources of remittance to determine proper allocation of rejections, payments and or adjustments, subject to individual carrier guidelines and contractual fee schedules.
Respond to carrier requests for additional information or documentation.
Review carrier denials and or unacceptable reimbursement to a challenge the determination or b adjust appropriately.
Review and update registration to correspond with information received from payer.
Copy and forward remittance advice to appropriate team for followup.
Responsible for identifying and escalating contractual carrier issues to the appropriate source.
Perform necessary billing activities such as claims to maintain team goals or assist other teams

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Medix is acting as an Employment Business in relation to this vacancy.