The Patient Account Representative is responsible for managing accounts receivable activities to help ensure timely reimbursement for hospital billing and claims. The role requires staying current on payer-specific regulations and procedures, preparing written summaries of findings and recommendations, and working with payers to recover delinquent accounts.
This position is customer-focused and centered on accounts receivable management, denial resolution, reimbursement variance review, and contract compliance analysis. The role also includes reviewing medical policies, LCDs, NCDs, and coverage guidelines, as well as preparing appeal packages for complex denials. The position offers flexibility to work from home after the initial training period.
Two or more years of experience in revenue cycle healthcare within a medium to large healthcare system
High school diploma or GED required
Knowledge of payer billing guidelines
Ability to follow network and departmental procedures and policies
Understanding of applicable state and federal laws, accreditation requirements, and government health plan program rules
Strong documentation skills for account notes and case tracking
Ability to maintain patient confidentiality
Experience resolving denials, insurance correspondence, billing follow-up holds, and prior authorization issues
Ability to analyze reimbursement variances, underpayments, and payer payment discrepancies
Ability to interpret medical policies, LCDs, NCDs, and coverage guidelines
Ability to perform detailed reviews of medical records, operative reports, and supporting documentation
Ability to prepare first-level, second-level, and external appeal packages
Ability to meet productivity and quality assurance standards
Location
Indianapolis, Indiana, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago