Patient Account Representative-Denial - Atlanta, United States - Resurgens Orthopaedics

    Resurgens Orthopaedics
    Resurgens Orthopaedics Atlanta, United States

    2 weeks ago

    Default job background
    Description
    Apply

    Job Type

    Full-time

    Description


    SUMMARY
    Ensures that all office service denials are worked within the time frame defined by the payer.

    ESSENTIAL DUTIES AND RESPONSIBILITIES (Other duties may be assigned)


    • Communication with payers and patients to resolve denials timely.
    • Denials follow up by payer with a strong emphasis on payer appeal guidelines.
    • Identify and communicate A/R denial trends to AR Manager.
    • Responsible for working the Coding Review Report to resolve coding exceptions by the provider.
    • Fully worked receivables follow up.
    • Maintain correspondence dashboard.
    • Completion of zero pay report.
    • Work insurance overpayments in a timely manner.

    SUPERVISORY RESPONSIBILITIES
    Not applicable.

    Requirements


    QUALIFICATIONS

    • Minimum of two years' experience working in all areas of collections in a physician practice.
    • Knowledge of medical terminology, ICD 10 and CPT codes.
    • Detail oriented and ability to multi-task in a fast paced environment.
    • Strong knowledge of Microsoft Office applications and payer websites.
    • Athena experience is preferred.
    • Excellent written and oral communication skills as customer service is a major focus at Resurgens

    PHYSICAL DEMANDS


    While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear.

    Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift and/or move up to 20 pounds.

    Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.


    WORK ENVIRONMENT


    While performing the duties of this job, employee may be exposed to risk of infectious diseases when interacting with patients and/or family members.

    The employee may be occasionally exposed to wet and/or humid

    conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The

    noise level in the work environment is usually moderate.