Patient Account Representative

Boston, MA

Post Date: 10/12/2017 Job ID: 2736772 Industry: Customer Service Representative
  1. Responsible for daily management of accounts receivable process and follow-up in the Billing System, including daily screening and correcting of claims for accuracy.
  2. Review, correction and completion of edit queues weekly for the insurance (s) assigned.
  3. Follow-up on pending claims, this includes following up with the insurance company, document the findings and gather and send the necessary documentation to process the claims.
  4. Responsible for the appeals process. This also includes gathering the information necessary to process the appeal accurately. Such as finding researching payer websites, identifying the correct diagnoses and/or procedure code, pulling of documentation such as EOB's, requesting medical records, reviewing registration/eligibility and benefits, as well as documenting all work performed on the patient invoice.
  5. Liaison, and to document all activity on the patient invoice.
  6. Customer Service calls. Responsible for handling customer service calls and demonstrate excellent customer service skills, listening, problem solving, professionalism, etc

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