Patient Account Representative - Hospital experience

Med-Metrix is seeking a dedicated Patient Account Representative to join our team. In this role, you will be responsible for managing collections, account follow-up, and billing allowance posting to ensure the accurate and timely resolution of hospital accounts.

Key responsibilities

• Follow up with payers via phone, email, or web portals to ensure the timely resolution of outstanding claims.
• Review and update patient and financial information to ensure accuracy for billing purposes.
• Identify, analyze, and resolve issues causing payment delays, including initiating appeals when necessary.
• Monitor billing accuracy and report on underpayment or denial trends to management.
• Maintain compliance with HIPAA standards and protect patient health information at all times.

Requirements

• High School Diploma or equivalent required; Medical Billing and Coding certification is a plus.
• Minimum of 2-3 years of experience in insurance collections, specifically within a hospital or facility billing environment.
• Solid understanding of healthcare claims processing, including ICD-10, CPT, HCPC codes, and UB-04 forms.
• Proficiency with Microsoft Office Suite and experience using hospital workflow systems such as EPIC, STAR, or SMS.
• Strong problem-solving skills, attention to detail, and the ability to communicate effectively with insurance payers and patients.

What we offer

• Opportunity to work in a professional, fully remote environment.
• Exposure to diverse healthcare reimbursement methodologies and insurance regulations.
• A collaborative team culture focused on quality standards and professional growth.