Patient Account Representative

Description

Job Title

Physical Rehabilitation Network (PRN) and its Family of Brands is seeking to recruit & hire a Medical Account Receivable Specialist.

About Us

PRN brings together some of the most trusted PT brands across the West and Central U.S. Whether in the clinic or behind the scenes, we’re all about personalized care, smart clinical insight, and making every patient feel supported from start to finish.

About the Role

If you LOVE working in the fast-paced environment of Revenue Cycle or Medical Billing from the comfort of your own home, then this might be an exciting opportunity for you. We are seeking an independent and extremely detail oriented Medical Account Receivable Specialist. The position is responsible for the full range of Payor follow up with different types of Payors.

Duties & Responsibilities

Manage primary and secondary claims
Respond promptly to billing inquiries from patients, insurance companies, and departments
Work with clinics to identify and resolve issues regarding outstanding account balances
Resolve denials and submit appeals
Utilize the most efficient resources to secure timely payment of open claims
Research assigned correspondence and take necessary action to resolve requests
Ensure daily accomplishments contribute toward company goals for A/R
Resolve accounts in follow-up queues

Skills & Qualifications

High School/G.E.D. or equivalent combination of education and experience required
2 years prior medical receivable collections experience preferred
Understanding of medical claims processing
Experience with insurance systems
Knowledge of insurance including State and Federal rules and regulations as they relate to billing and collections
Ability to understand claim denials/rejections
Ability to read an Explanation of Benefits
Knowledge of medical terminology