Patient Account Representative - Insurance Follow Up (Physician)

Patient Account Representative - Insurance Follow Up (Physician)

Pay: $16 - $20 per hour

Location: Knoxville, TN (Onsite)

Summary
Seeking a detail-oriented Patient Account Representative to handle insurance follow-up and denial resolution in a physician group business office setting. The role involves reviewing patient accounts, communicating with insurance companies to resolve billing issues, and ensuring proper claim processing. The candidate should possess strong problem-solving, communication, and time management skills, with a focus on accuracy and compliance under federal and state regulations.

Requirements

• Prior experience in insurance follow-up, preferably with physician or hospital claims
• Strong problem-solving and verbal/written communication skills
• Knowledge of payer rules, HIPAA, HCFA, TennCare, and third-party payer requirements
• Ability to review and resolve claims denials and unpaid claims

Responsibilities

• Review patient accounts and verify claim statuses with insurance companies
• Investigate and resolve full or partial claim denials by identifying root causes
• Communicate effectively with insurance payers and patients to facilitate claim resolution
• Collaborate with internal departments to correct billing issues
• Prioritize work based on department productivity and quality standards
• Maintain accurate documentation and follow-up on unresolved claims

Benefits

• Growing hospital system with internal opportunities for career advancement
• Competitive hourly pay
• Supportive work environment committed to professional development