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Patient Account Representative/Denial Management


  • Category Patient Financial Services
  • Department Patient Financial Services
  • Schedule Full Time
  • Shift 8:00am - 4:30pm, M-F

Job Description

Patient Account Representative with primary focus on investigating and resolving denials and claim issues from all carriers including, but not limited to, Medicaid, Commercial and Medicare for both facility and professional claims in a timely manner. Will be responsible for following all reviews and appeals to ensure that timelines are being met. May also be responsible for sorting incoming mail to identify records requests and denials, and other duties assigned by the Supervisor, Manager or Director.


  • HS diploma or GED with Associates or Bachelors preferred
  • Excellent customer and clerical experience needed
  • Ability to multi-task while being detail oriented
  • Must be a team player but able to work independently
  • Must have previous experience working with, and effectively communicating with, health insurance and have working knowledge of ICD10 and CPT/HCPC.
  • Additional preferred qualifications: medical terminology and fluently bi-lingual