Title:  Patient Accounts Representative I/Appeals - Denials

Summary

The Patient Accounts Representative I requires an experienced collector that understands AR follow up. The collector should have knowledge of how to appeal a denied claim and check status of a claim by payer website or placing a telephone call to the payer.

Job Duties

•    Expedites and maximizes payment of insurance medical claims by contacting insurance payers and patients by telephone or website.
•    Assists with inquiries from outside parties regarding account status.
•    Reviews invoices to verify payments and contractual adjustments.
•    Resolves all denials and requests for information, including appeals.
•    Follows up on outstanding accounts and makes proper notations in Epic system.
•    Performs other job related duties as assigned.

Minimum Qualifications

• High school diploma or GED.
• One year of relevant experience.

Preferred Qualifications

• Knowledge of Epic system.
• Experience in Transplant. 
• Experience in submitting an appeal for reimbursement.