1-3 years of experience in medical billing/patient accounts
General computer skills
Advanced proficiency with MS Office products including Word and Excel
Advanced knowledge of medical billing, insurance and compliance regulations
Requirements:
Researching, resolving, and appealing outstanding medical claims
Monitoring assigned accounts and identifying trends
Following up on claims and documenting activity
Coordinating corrections such as cash posting errors
Job description
Title: Patient Accounts Representative II Location: 100% Remote Type: Contract Duration: Starts out 3 months with possible extension or conversion Rate: 25/hr
Job Summary:
The Medical Claims & Appeals Analyst is responsible for researching, resolving, and appealing outstanding medical claims to maximize reimbursement and reduce accounts receivable. This role involves monitoring assigned accounts, identifying trends, following up on claims, documenting activity, and coordinating corrections such as cash posting errors. The analyst ensures timely resolution while supporting proactive cash flow across commercial, government, and third-party payers.
The role also includes interpreting payer contracts to identify underpayments and overpayments, managing the appeals process, and staying current on billing policies and payer guidelines. The analyst provides feedback on reimbursement issues, meets productivity and quality standards, and may serve as a subject matter expert, supporting team members and assisting with training.
Required Skills & Experience:
-Experience more than 1 year and less than 3 years.
-Must have minimum of 1 years experience in medical billing/patient accounts.
-General computer skills.
-Typing, 10-key.
-Advanced proficiency level with MS Office products including Word and Excel.
-Advanced level knowledge of medical billing, insurance, and compliance regulations and coding.
-Medical terminology.
-Advanced knowledge of Epic.
Preferred Skills & Experience:
-Experience more than 3 years and less than 5 years.
-Hospital/Physician billing or claims follow up experience. null
Required Education:
-High School Diploma or Equivalent.
