Patient Account Rep

Description At Barbour Orthopaedics , we’re dedicated to providing exceptional orthopedic care through advanced medical techniques, cutting‑edge technology, and a patient‑centered approach. As a trusted name in Orthopaedic medicine, we pride ourselves on our collaborative environment, commitment to excellence, and a shared mission to help patients live healthier, more active lives. We're currently seeking an experienced Patient Account Representative to join our Revenue Team! If you’re looking to be part of a dynamic healthcare organization that values expertise, integrity, and a genuine dedication to patient care, we’d love to hear from you. Key Responsibilities Accounts Receivable Management: Monitor and manage assigned insurance and patient accounts receivable work queues. Perform timely follow‑up on unpaid, denied, and underpaid claims with insurance, work compensation, PIP carriers and patients. Research and resolve billing discrepancies, claim rejections, denials, and payment variances. Ensure accurate documentation of all account activity and follow‑up actions within the billing system. Claims & Payment Resolution: Review explanation of benefits (EOBs), electronic remittance advice (ERAs), and payer correspondence to determine appropriate actions. Submit corrected claims, appeals, reconsiderations, and supporting documentation as necessary. Identify trends in denials and reimbursement issues and elevate concerns to management when appropriate. Work collaboratively with coding, credentialing, front office, and clinical departments to resolve claim‑related issues. Process Improvement & Compliance: Maintain knowledge of payer guidelines, billing regulations, and reimbursement policies. Assist in identifying workflow improvements to increase collections and reduce AR aging. Ensure compliance with HIPAA and all applicable Commercial, Work Compensation, PIP and Personal Injury payer requirements. Support departmental goals related to collections, account resolution, and aging reduction Documentation & Reporting: Maintain accurate and detailed notes on accounts, personal injury accounts and payer communications. Prepare reports related to AR performance, denial trends, and outstanding balances as requested. Track and monitor productivity and account resolution metrics. Assist with audits and provide supporting documentation when required. Customer Service & Communications: Communicate professionally with referral sources, insurance representatives, patients, providers, and internal staff. Respond promptly to inquiries regarding account balances, claim status, and payment activity. Provide exceptional customer service while maintaining confidentiality and professionalism. Support team initiatives and contribute to a collaborative work environment. Requirements Minimum Qualifications Minimum of two (2) years of accounts receivable experience in a healthcare setting. Minimum of one (1) year of medical or personal injury billing experience Prior experience with insurance follow‑up, denial management and appeals. Preferred Qualifications Prior knowledge and experience of commercial, worker’s comp, PIP and personal injury claims. Physical Work Requirements Ability to alternate between sitting and standing for extended periods. Ability to read computer screens, and forms with accuracy, including prolonged screen time. Ability to lift and carry office supplies, files, and packages weighing up to approximately 15–25 pounds. #J-18808-Ljbffr