Job Description
Job Description Job Description Position Summary We are seeking a detail-oriented Patient Account Representative with experience in hospital accounts receivable and healthcare collections. This role is responsible for managing outstanding facility claims, performing insurance follow-up, resolving claim denials, and ensuring timely reimbursement from Medicare, Medi-Cal, and commercial insurance pay
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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