Patient Account Representative (remote option) - EPIC required
Pay Range:
The base pay range for this position is
$20.80-$37.45 Hourlyhowever, base pay offered may vary depending on job-related knowledge, skills, and experience.
Job Title: Patient Account Representative
Work Schedule for this Position: 8:00 to 5:00 Monday thru Friday Weekends and Holidays off
About the Team:
The Patient Financial Services team is comprised of compassionate and dedicated members who support a patient’s financial journey from admission to treatment, discharge, and final settlement of medical claims. The team supports each other in carrying out their duties and responsibilities in an atmosphere of mutual respect and job enjoyment.
Company Statement:
Pullman Regional is an innovative, patient-focused, multi-disciplinary based work environment where all members of the team contribute to the exceptional care of our patients and the community.
Position Overview:
We are seeking a detail-oriented and experienced Commercial Biller to join our team. The ideal candidate will have a key role within the revenue cycle team, responsible for ensuring the accurate and timely submission of claims to commercial insurance payers, as well as providing expert guidance and support to resolve complex billing issues. This position requires in-depth knowledge of commercial insurance processes, payer policies, and industry regulations, combined with the ability to mentor team members and implement best practices. The ideal candidate will possess a strong analytical mindset, excellent communication skills, and proven expertise in healthcare billing, account resolution, and organizational skills.
A Day in the Life:
- Working knowledge of both hospital and physician denials and underpayments
- Identify trends in denials and implement solutions in line with payer requirements to reduce future denials and optimize collections.
- Stay current with changes in commercial payer policies, regulatory guidelines, and industry standards, implementing these updates into daily billing practices.
- Analyze denials and determine the appropriate course of action for appeal or resubmission.
- Prepare and submit appeals for denied claims, ensuring accuracy and compliance with regulatory requirements.
- Collaborate with internal teams, including billing, coding, and clinical staff, to gather necessary information for appeals and resolve denial issues efficiently.
- Maintain detailed records of denial cases, including appeals filed, communications with insurance representatives, and any additional documentation required.
- Monitor the status of appealed claims and follow up with insurance representatives as needed to expedite resolution.
- Generate and analyze reports on denials trends, identify root causes, and make recommendations for process improvements.
About You!
This Job is For You if You Have:
- Ability to analyze denial reasons, identify trends, and develop strategies for minimizing denials.
- Excellent written and verbal communication skills, with the ability to effectively communicate with internal staff and insurance representatives.
- Strong attention to detail and accuracy in documentation and appeals submissions.
- Ability to collaborate effectively with multidisciplinary teams to achieve common goals.
- Thorough understanding of billing regulations, coverage guidelines, and appeals process.
A Wow if You Have:
- Bachelor’s degree.
- CPC, CRCR, or CPMA certifications.
- Working knowledge of Epic within Community Connect environment
Company Perks:
Our employees are our most important asset and that’s reflected in our benefits. Pullman Regional is proud to offer a variety of benefits to support employees and their families, including:
- Medical/Vision, Dental, Health Savings Account, and Paid Leave Time
- Employer Paid Life Insurance and Long-Term Disability
- Retirement with Employer Matching Contributions
- Voluntary Benefits that include: Life Insurance, Critical Illness, Accident Insurance, and Short-Term Disability
- Services Discount and EAP Resources
A Few More Important Points:
The job posting highlights the most critical responsibilities and requirements of the job. It is not all-inclusive. There may be additional duties, responsibilities, and qualifications for this job.
Disability Contacts:
Applicants with disabilities who require assistance or accommodation should contact Human Resources at [email protected]
Current Pullman Regional Employees:
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