Patient Account Rep-Medicare POST NUMBER: 484969
- Communicate effectively with patients regarding insurance coverage, eligibility requirements, and healthcare billing processes.
- Guide patients through insurance transitions and assist with obtaining necessary documentation.
- Provide exceptional customer service through professional phone and written communication.
- Investigate, process, and resolve insurance claim denials and appeals.
- Follow established procedures and regulatory guidelines.
- Collaborate with team members to identify process improvements and increase operational efficiency.
- Work independently while contributing to overall department objectives.
- Maintain accurate records and documentation.
- Assist in monitoring department compliance with healthcare payer policies and applicable federal and state regulations.
- Apply knowledge of insurance programs, plan types, and eligibility requirements.
- Analyze explanations of benefits (EOBs) and resolve billing discrepancies.
- Demonstrate strong attention to detail and organizational skills.
- Support additional billing department activities as needed.
High school diploma or equivalent required. Experience
- One to two years of experience in healthcare billing, medical accounts receivable, insurance verification, or a related healthcare administrative role preferred.
- Familiarity with medical billing procedures and healthcare insurance processes preferred.
- Excellent verbal and written communication skills.
- Strong customer service and interpersonal skills.
- Ability to manage multiple priorities and meet deadlines.
- Strong analytical and problem-solving abilities.
- Detail-oriented with excellent follow-through.
- Proficient computer skills, including experience with Microsoft Office and healthcare systems.
- Ability to work both independently and in a team environment.
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