Nov 13, 2023

Patient Accounts Claims Submission Representative

  • Patient First
  • Glen Allen, VA, USA
Full Time (CPC) Certified Professional Coder (CPC-A) Certified Professional Coder - Apprentice

Job Description

Responsibilities include, but are not limited to, the following:

  • Preparing claims for electronic claims submission through a clearinghouse or direct submission to the insurance payer;
  • Preparing paper claims for submissions via mail; attaching medical records when necessary for claim processing;
  • Retrieving correspondence received from the clearinghouse or insurance company via mail and resolving all rejected claims for resubmission;
  • Updating the billing system with necessary corrections for claims submission;
  • Troubleshooting claims submissions;
  • Maintaining a daily log of all uploaded, sent, and rejected claims;
  • Establishing and maintaining a professional relationship with the clearinghouse and all insurance Electronic Data Interchange (EDI) department personnel and co-workers;
  • Working with the Insurance Specialists to ensure proper filing of claims;
  • Operating, using, and maintaining office equipment as trained.

Minimum education and professional requirements include, but are not limited to, the following:

  • High school graduate or equivalent;
  • Employee must be 18 years or older;
  • Typing experience required;
  • Knowledge of general insurance policies;
  • Excellent written and verbal communication skills;
  • Ability to prioritize, organize, and multitask in a timely manner;
  • Proficiency in Microsoft Office (e.g., Excel, Word, and Outlook);
  • Ability to use phone system;
  • Ability to sit for long periods of time (up to eight hours at one time);
  • At least three years of experience working in the health care field in a medical billing department preferred;
  • Electronic claims submission experience;
  • Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A) experience.

Required Experience Level

Intermediate Level