
Patient Account Representative - Medical Billing [NFMS]
Job Description
Overview:
Key Responsibilities:
- Review and prepare patient accounts for billing, ensuring accuracy and completeness
- Ensure timely receipt of claim submission and payments; processing payments accordingly and reconciling all necessary data.
- Follow up on unpaid or denied claims with insurance companies and patients and assist in the resolution of outstanding payments from past due accounts.
- Investigate and resolve billing discrepancies and provide documentation for appeals
- Communicate with patients regarding balances, billing questions, and payment plans
- Collaborate with the revenue cycle team to meet department goals and improve processes
- Generate and analyze diverse reports and work lists in the identification and resolution of general patient account issues.
- Communicate with insurance companies, patients, and internal departments to resolve billing issues.
- Maintain up-to-date knowledge of insurance guidelines and billing regulations.
- Assist patients with billing inquiries and payment plans.
- Insurance verification and authorization
- Maintain compliance with HIPAA and other healthcare regulations
Qualifications:
- High school diploma or equivalent; associate degree or certification in medical billing/coding preferred.
- 1–3 years of experience in medical billing, patient accounts, or a related field.
- Knowledge of ICD-10, CPT, and HCPCS coding systems.
- Solid understanding of EOBs, insurance claims processing, and medical billing codes (ICD-10, CPT)
- Strong attention to detail and organizational skills
- Excellent verbal and written communication skills
- Familiarity with EHR and billing software (e.g., Epic, Cerner, Meditech).
- Proficiency with Microsoft Office (especially Word and Excel)