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Patient Insurance Representative

Lewisville, TX 75067 | Contract To Hire

Post Date: 05/03/2018 Job ID: 5254 Industry: Other Area(s) Pay Rate: 18.00

The Insurance Patient Account Representative role is to file insurance claims and appeals on assigned hospital accounts in a timely and accurate manner.

  • Responsible for insurance follow-up on identified hospital accounts
  • Understands medical billing requirements for Medicare, Medicaid,                        contracted and commercial payers
  • Reviews and researches insurance correspondence and makes necessary          corrections to ensure claims payment
  • Requests oral reconsideration of pended claims  and supports attending              physicians in orally  responding to the payer’ s medical team regarding  the            case
  • Timely process appeals on identified accounts
  • Follow HIPAA protocols

Must have thorough knowledge and experience in:
  • Hospital accounts
  • Insurance Follow-Up and/or Claims Recovery
  • Medicare and Medicaid Managed Care
  • Experience with Claims processing software or ‘ editors’ such as epremis,            SSI, EZClaim, etc
  • Ability to read/decipher a contract
  • Suspended (S-Status), Returned-to-Provider (T-Status), Rejected (R-                  Status), Paid (P-Status) and Denied (D-Status) claims
  • DDE is a huge Plus!

Other Requirements:
  • High school Diploma or GED
  • Must be able to pass background and drug screen!

  • Medical, Dental, Vision, Short-term disability, 401k, etc.
  • Growth opportunities

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