Professional Billing Insurance Follow Up Analyst

Professional Billing Patient Account Representative

Westerkamp Group, LLC is an Accounts Receivable Management company focused on hospital and professional billing and collections. We are currently seeking a Professional Billing Patient Account Representative to provide third-party Professional follow-up, billing, and re-billing services to our clients. This is a remote position, but please note the applicants must be located in Texas, Tennessee, Georgia, Kentucky, Louisiana, and Alabama.

The experienced Professional Billing Patient Account Representative will work as a member of our Client Team to support the efficient collection of professional claims for our Hospital clients. This full-time position will have standard work hours from 8:00am to 4:30pm Monday through Friday.

Primary Duties and Responsibilities:

• Contact third party payers to verify eligibility, obtain claim status and take steps to properly resolve CMS 1500/837P claims
• Utilize the various internal and online follow up tools provided by Westerkamp Group, LLC and our clients to resolve accounts
• Critically analyzing account balances, Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), denial reason codes (CARC), and remittance advice remark codes (RARC) on CMS-1500 /837P claim forms to determine the root cause of denials
• Maintain workqueues and track trends that can be escalated to management
• Clearly notate accounts per Westerkamp Group or client specific standards
• Review paper correspondence and take necessary action to resolve insurance payer requests.
• Analyze and submit cash posting payment and contractual adjustment errors
• Ability to adhere to strict compliance guidelines related to HIPAA

Qualifications:

• Self-motivated and ability to work well within a team and independently
• Strong attention to detail
• Excellent telephone and written communication skills
• Ability to work with multiple patient accounting and billing systems
• Willingness to learn new application systems and unique billing and collection requirements of our client
• Proficiency in computer skill
• Teamwork and a positive attitude
• Motivated to learn and adapt to changing environments and multiple projects

Education and Experience:

• High School Diploma or GED equivalent
• Epic PB collections and follow-up experience preferred
• Hospital Billing
• Professional Billing

Westerkamp Group, LLC provides competitive salary and benefits compensation. Westerkamp Group, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. In addition to compliance with federal EEO statutes, Westerkamp Group, LLC complies with applicable state and local laws governing nondiscrimination.

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