Patient Account Representative

Boston, MA 02108 | Contract

Job ID: 4775 Category: Insurance Billing

3 to 6-month contract/Temp position with the opportunity to be hire directly by our client.


Coverage, Referral & Authorization Responsibilities:
  • Collects, verifies, and records all demographic information required for financial pre-processing
  • Verifies eligibility utilizing available technologies, payer websites, or contact with third party payers
  • Ensures correct insurance company name, address, plan, and filing order are recorded in patient accounting system
  • Utilizes payer exception reports to update coverage and PCP information
  • Contacts clinical departments and PCP offices to secure referrals, updates patient accounting system
  • Documents all actions taken on account with clear and concise notes
  • Participates in process improvement opportunities


Billing and Collection Responsibilities:
  • Prepares and submits accurate insurance claims to payer within proper timeframes
  • Accepts, rejects, and reconciles claim runs
  • Ensures prompt resolution of outstanding insurance claims
  • Effectively works payer scrubber and denial reports
  • Reviews claims for accuracy and correct errors as needed
  • Collaborates with referral/authorization staff to resolve issues
  • Updates demographic and coverage information as needed
  • Resolves processing issues with 3rd party payers
  • Provides all requested information a timely manner
  • Engages patients and family members to resolve claim or insurance issues when needed
  • Provides documentation to have claims processed and paid
  • Researches, prepares, and provide 3rd party payer appeals
  • Request account adjustments in accordance with payer contractual agreements
  • Maintains billing logs and prepares reports as required
  • Monitors and identifies trends, denials, and claim errors by payer and referral as appropriate
  • Maintains a thorough understanding of 3rd party payer contracts


Knowledge and Skills Required:
  • HS or Equivalent
  • Previous experience in a medical billing setting using an automated system
  • Team player with attention to detail, strong organizational skills, and the ability to meet priorities within set timeframes
  • Analytical skills to gather and interpret data with the ability to exchange information on factual matters
  • Courtesy and tact when dealing with patients, hospital employees and third parties
  • The ability to communicate effectively and provide empathy in difficult interpersonal situations


To apply:
  • Forward your most up to date resume in a Microsoft Word document
  • Please include your phone number and preferred email address


Hire Partnership, LLC |

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