Patient Account Representative

The role

The Patient Account Representative researches and rectifies third party healthcare insurance denials, edits, and requests for information. This role supports RCM departments by identifying open claims and correcting billing errors.

What you will do

• Maintain aged insurance accounts receivable (AR) queues.
• Review and appeal denied claims for bundling, medical coding, and contracting related issues.
• Perform timely follow-up on all appeal submissions.
• Process corrected claims.
• Assist with timely turnaround for medical documentation requests.
• Provide follow-up and feedback to leadership regarding assignments.
• Coordinate with other departments to ensure smooth operation in all areas of aged AR.
• Work necessary reports to ensure assigned AR is actively worked and maintained.

Required qualifications

• 3+ years of experience in insurance account receivable department
• Knowledge of payer specific billing requirements
• Highly organized and able to track workflows through various tools
• Strict attention to detail with excellent organizational skills
• Customer service skills to work with insurance companies and teammates within the company
• Maintain a high level of integrity and confidentiality of medical information

Nice to have

• Experience in behavioral health
• Able to work a hybrid schedule of 4 days/week in our Nashville office and located within 75 minutes' commuting distance of the office

Benefits

• Comprehensive benefits to all full-time, exempt employees

About the company

Charlie Health delivers personalized, virtual care for mental health conditions, substance use disorders, and eating disorders. The organization aims to connect the world to life-saving behavioral health treatment.