<p>Are you a detail-oriented healthcare professional with expertise in medical billing and patient account management? Our client is seeking a Patient Account Representative to join their team in the Sacramento area. In this position, you will play a key role in supporting patients throughout the pre-visit billing process, verifying insurance coverage, addressing outstanding balances, and providing a positive patient experience.</p><p><strong>Key Responsibilities</strong></p><ul><li>Initiate and verify insurance coverage and eligibility for scheduled services.</li><li>Review and obtain necessary pre-authorizations for treatments and procedures.</li><li>Investigate drug benefits, communicate patient financial responsibilities, and support payment for services.</li><li>Follow up on outstanding balances and unpaid insurance claims, including denials and patient portions.</li><li>Interact with patients both in person and over the phone regarding billing inquiries and account resolutions.</li><li>Draft effective appeal letters for initial and secondary insurance claim appeals.</li><li>Assess account balances and determine appropriate next steps to ensure payment.</li><li>Assist patients with co-pay and financial assistance programs, including sending information packets, answering questions, enrolling patients online, and helping to qualify for support.</li><li>Utilize payer and benefit websites to track claim and appeal status.</li><li>Manage phone queue for inquiries from patients and clinic staff.</li><li>Contribute to proper inventory documentation and storage processes for high-cost treatments.</li><li>Complete other administrative duties as assigned.</li></ul><p><br></p>
<p>We are looking for a dedicated Billing Associate to join our team in Roseville, California. In this contract position, you will play a pivotal role in ensuring accurate and timely billing processes while maintaining strong communication with patients, agencies, and third-party payers. This role offers an opportunity to contribute to the efficient handling of claims and reimbursements in a collaborative and supportive environment.</p><p><br></p><p>Responsibilities:</p><p>• Communicate with patients, government agencies, and third-party payers to gather and process information necessary for reimbursement.</p><p>• Review and correct billing claims before submission to ensure accuracy and compliance with regulations.</p><p>• Monitor unpaid accounts, initiate appropriate actions for collection, and follow up to achieve resolution.</p><p>• Handle appeals by coordinating with relevant departments for coding updates and charge information.</p><p>• Calculate and process write-offs, debit, and credit adjustments as needed.</p><p>• Maintain productivity and quality standards while adhering to established procedures.</p><p>• Provide general office support to facilitate smooth operations and address administrative needs.</p><p>• Prepare claims and collections data for distribution to appropriate sources.</p><p>• Perform additional duties as assigned to support the billing and collection functions.</p>
