Patient Accounts Representative
Amoskeag Health
Description Make a difference every day at Amoskeag Health, where we believe strong healthcare begins with strong human connections! Who You Are: Amoskeag Health is seeking a detail-oriented Patient Accounts Representative to support the revenue cycle process for our Manchester Community Health Center. You are analytical, organized, and skilled in verbal and written communication, with the ability to handle provider and patient inquiries, resolve insurance denials, and ensure accurate billing and collections. Your work promotes revenue integrity and supports timely, accurate reimbursement for the organization. What You'll Do:
- Ensure all claims are reviewed daily and submitted electronically in a timely manner using the claims management system.
- Review all claim edits and rejections, making necessary corrections to comply with federal, state, and commercial payer requirements.
- Work on claims in on-hold status to maintain timely billing practices.
- Coordinate data requests with other departments (Medical Records, Intake, Provider Orders, Referral Center, Quality Review) to support timely billing.
- Monitor outstanding claims for assigned payers (Work Queues, Aging Reports) and ensure follow-up stays within payer filing limits.
- Initiate re-billings, corrected claims, and appeals following payer requirements.
- Document billing activities on patient accounts to assist in problem resolution.
- Identify compliance risks and proactively address issues to prevent audits.
- Monitor assigned work to ensure billing and follow-up meet management standards.
- Track trends in claim rejections or denials and report to management.
- Reconcile daily charges, adjustments, payments, and overpayments from Medicare, Medicaid, Blue Cross/Blue Shield, and other third-party payers.
- Ensure posted payments reconcile accurately with amounts received or deposited.
- Interact with clients professionally and sensitively regarding financial matters.
- High school diploma or GED.
- 2-3 years of medical or healthcare billing experience, including working claim rejections, with strong knowledge of procedure codes; familiarity with Medicaid managed care and payer reimbursement processes. Other healthcare experience (insurance verification, authorization, cash collections, or reconciliation) is also considered.
- Basic computer skills to bill claims, document, and edit patient account information.
- Ability to work independently, make sound decisions, and manage multiple priorities with strong organizational skills and attention to detail.
- Excellent interpersonal and communication skills, with flexibility, motivation, and a positive attitude.
Vacancy posted 2 days ago
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