Healthcare Client Account Representative

In-office Healthcare Client Account Representative

We are a Birmingham, Alabama-based healthcare management company in search of an In-office Healthcare Client Account Representative. The Client Account Representative is part of the RCM team, and their duties may include one or more of the following: medical billing, claims processing, processing insurance payments, following up on denied claims, resolving credit balances, and customer service skills.

This is an in-office position.

Primary responsibilities:

• Processes the insurance component of a patient's obligation through claims processing and payment rules.
• Bills claims appropriately.
• Follows up on denied claims by performing appeals and denial recovery procedures.
• Works denied claim lines and no response claims to resolve outstanding accounts.
• Analyzes credit balances on patient accounts and resolves.
• Insurance verification.
• Experience using Medisys and/or Therabill.
• Responds to refund request letters from insurance carriers.
• Notify the supervisor of any problem accounts, CPT codes being denied by specific insurance companies, continued errors in charges, and any other hindrance to their productivity or collection of A/R.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA confidentiality.
• Demographic processing.
• Analytical and problem-solving abilities.
• Provide excellent customer service through phone calls and emails.
• High level of time management and organizational skills.
• End-of-the-month report generation and list of all accounts not worked.
• Performs other duties as assigned.

Education:

• High school diploma or equivalent (Required).
• Associate degree (Preferred).

Experience:

• At least five years of experience preferred.
• Medical background or previous insurance billing desired.
• Experience using Medisys preferred.
• Experience using Therabill preferred.
• Experience with workers' compensation preferred.

Kassouf Healthcare Solutions