Title:  Patient Accounts Representative I

Summary

We are seeking a Patient Accounts Representative to join our claims team. The candidate will expedite and maximize payment of insurance medical claims by attaching medical records to all denied/rejected claims by accessing payers websites, faxing, and mailing claims with medical records. This position will be located at our Greenway Plaza location.

Job Duties

• Works and processes medical records sent to the payor for reconsideration.
• Accesses payor websites to upload medical records into the system.
• Analyzes trends, issues, and proposes appropriate action & possible solutions. 
• Identifies areas of concern regarding the various areas of the claims process.
• Analyzes trends and issues and proposes appropriate action to resolve.
• Masters each task to ensure complete understanding.
• Maintains each work queue to review each invoice date of creation, if over 10 days out, needs to understand why invoice is still there; if there is an issue, get information to bring to resolution.
• Notifies supervisor of trends and issues/problems to determine if any update or changes are needed in the system.

Minimum Qualifications

• High school diploma or GED.
• No experience required.

Preferred Qualifications

• Patient Account or Coding certification.