Patient Account Representative
Coding Ahead LLC
- Patient Account RepresentativePost a jobTorrance MemorialResponsible for revenue cycle processes for professional billing, including data entry, charge processing, claims management, claim edits, claim denials, patient and insurance refunds, and accounts receivable follow-up.Key responsibilities include:* Review work queues and prioritize tasks to ensure timely follow-up on patient accounts.* Confirm pre-bill edits are cleared and required signatures are obtained before billing.* Gather documentation needed to respond to initial data requests and appeals.* Answer inquiries from patients and insurance companies regarding charges and billing discrepancies.* Track denied claims and appeals, including payments and adjustments.* Review explanation of benefits and remittance advices to resolve accounts and pursue appropriate follow-up.* Support charity allowance documentation and collection referrals when needed.* Assist with orientation and training of new employees or volunteers.* Attend meetings and seminars with insurance plans, medical groups, and IPAs.* Document detailed notes, action items, and correspondence activity.* Resolve payer issues and patient billing complaints, escalating issues to management as appropriate.* Issue denial letters within required timeframes.* Perform collection actions with patients, insurance companies, and third-party payers.* Prepare write-off requests for denied claims that cannot be appealed.* Review claim scrubber results and correct claim edits.* Access computer systems to retrieve patient information.* Review patient accounts with credit balances and submit refund requests when appropriate.Requirements & Qualifications## Qualifications* Minimum of 3 years of experience in physician billing.* Knowledge of ICD-10, CPT, HCPCS, and LCD/NCD coding.* Ability to ensure compliance with accepted coding and billing guidelines.* Strong understanding of insurance billing functions.* Experience handling claims, denials, appeals, refunds, and accounts receivable follow-up.LocationCalifornia, USEmployment TypeFull-timeExperience LevelAssociateRemote work allowedNoPosted1 week ago
- J-18808-Ljbffr Coding Ahead LLC
Vacancy posted 1 day ago
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