Overview
This role involves working under the direction of the Revenue Cycle Manager to monitor insurance claims, including those with no response, pending response, denials, and appeals. The Patient Account Representative will proactively resolve balances billed to insurance carriers through accurate claim adjudication. The position may also include evaluating and resolving underpayments, overpayments, and refund requests from insurance carriers.
Responsibilities
- Monitor insurance claims for no response, pending response, denial, and appeal statuses
- Proactively resolve balances billed to insurance carriers by ensuring accurate claim adjudication
- Evaluate and resolve underpayments and overpayments
- Process requests for refunds from insurance carriers
Requirements
- High School Diploma or GED required; Associate's Degree preferred
- 3 to 5 years of relevant experience in Revenue Cycle and/or Epic Revenue Cycle applications
- Ability to work primarily remotely with occasional requirements to work onsite or travel to various hospitals and work locations
- Flexible work hours depending on business needs
- Regular and predictable attendance required for both remote and in-office duties
Location
- Cincinnati, OH, United States
- Primarily remote work with occasional onsite presence or travel to hospital locations as needed