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Are you a detail-oriented healthcare professional with expertise in medical billing and patient account management? Our client is seeking a Patient Account Representative to join their team in the Sacramento area. In this position, you will play a key role in supporting patients throughout the pre-visit billing process, verifying insurance coverage, addressing outstanding balances, and providing a positive patient experience.
Job Responsibility:
Initiate and verify insurance coverage and eligibility for scheduled services
Review and obtain necessary pre-authorizations for treatments and procedures
Investigate drug benefits, communicate patient financial responsibilities, and support payment for services
Follow up on outstanding balances and unpaid insurance claims, including denials and patient portions
Interact with patients both in person and over the phone regarding billing inquiries and account resolutions
Draft effective appeal letters for initial and secondary insurance claim appeals
Assess account balances and determine appropriate next steps to ensure payment
Assist patients with co-pay and financial assistance programs, including sending information packets, answering questions, enrolling patients online, and helping to qualify for support
Utilize payer and benefit websites to track claim and appeal status
Manage phone queue for inquiries from patients and clinic staff
Contribute to proper inventory documentation and storage processes for high-cost treatments
Complete other administrative duties as assigned
Requirements:
High school diploma or GED required
Experience with medical billing, reimbursement procedures for government and private payers, and individual patient billing
Competency in analyzing insurance EOBs (Explanation of Benefits) and remittances
General knowledge of credit, collection, and basic accounting principles
Familiarity with CPT and ICD-10 medical coding
Demonstrated organizational, multitasking, and problem-solving skills
Strong proficiency in Microsoft Word, Excel, Outlook, and PowerPoint
Able to adapt to new processes quickly and effectively
Strong mathematical skills
Ability to meet daily department productivity goals
Local residency in the Sacramento, CA area is required
Nice to have:
5+ years of medical billing experience (willing to train highly motivated candidates)
Experience using NextGen, Experian ClaimSource, and Denial Manager platforms
Spanish language proficiency is a plus
What we offer:
medical, vision, dental, and life and disability insurance