Insurance Patient Account Representative

Insurance Patient Account Representative **Job Description** The Bryn Mawr Medical Specialists Association Business Office is looking to add a full-time Insurance Representatives to their team. As an Insurance Representative, your sole focus and responsibility will be your assigned physician(s) insurance A/R. This function will include, but not be limited to, timely follow up on claims rejected or denied by our clearinghouse and/or the patient's insurance carrier, completion of investigations and appeals according to the prescribed policies of the carrier, communication of corrections required by internal clinical and non-clinical departments including charge entry and registration staff and assisting patients in understanding their insurance related balances. **Functions/Responsibilities:** - Examination and timely follow up on unpaid claims - Completions of investigations and/or appeals of rejected or denied claims - Communication with department staff members regarding required items for claims corrections - Identification of claims requiring managerial review and assistance - Assisting patients in the understanding of insurance denials and/or their assigned cost sharing as needed - Facilitate the identification or rejection and denial trends - Make corrections to claims information including but not limited to CPT codes, DX codes, referrals, and authorizations as directed by the departments - Completion of additional duties as assigned by management **Qualifications:** - High school diploma of GED required - Previous insurance A/R experience preferred - Ability to understand an insurance Explanation of Benefits including denial reason codes and the appropriate responses to those codes - General knowledge of ICD-10 and CPT codes - Customer Service - Ability to communicate clearly and concisely - Knowledge of insurances, coverage guidelines, and payment policie - Self-starter with the ability to work independently in the furtherance of the goals of the team - Experience with patient accounting and EMR software - Intergy experience preferred Job Type: Full-time **Benefits:** - Dental insurance - Disability insurance - Health insurance - Paid time off - Vision insurance - $20 per hour - 401K **Pay/Benefits:** - $20 per hour - Competitive salary - Medical, Vision, and Dental insurance - 401(k) - Profit Sharing Plan - PTO - Benefits, PTO, and Holiday Pay are only available to employees working 24 hours or more per week The potential base pay range for this position is $20 per hour. The pay range listed in this job posting is a good faith determination of potential base compensation that may be offered and is not a guarantee of a particular wage. Actual base pay will vary and is commensurate with the applicant’s knowledge, experience, education, skills, training, certifications, and qualifications required for the role. In addition, the listed pay range is based on factors at the time of this job posting and may be modified in the future based on market data, internal equity, and the budget of the department hiring for this position. Final compensation and benefit eligibility may vary by role and employment status and will be confirmed at the time of offer. Benefits, PTO, and Holiday Pay are only available to employees working 24 hours or more per week. For questions or concerns, please contact Ali Parrott at aparrott@bmmsa.com or 484-272-3270 ext. 3026.