Patient Account Rep (PPO Facility Fees)

Job Description

Insight Global is looking for a High Dollar Hospital Collector with a strong work ethic and high level of professionalism. This person will be expected to go onsite five days a week from the hours of 8:00am to 4:30pm. Each day will begin with a morning huddle at 10:00am, then focus on the work queue, and then work on 40-45 accounts for the remainder of the day. This person will be expected to come from a hospital setting working with high dollar accounts for facility claims and dealing with appeals as well as a variety of insurances under PPO and HMO. Must have strong knowledge of managed care contracts and have knowledge of current regulatory requirements to ensure prompt and accurate reimbursement.

Skills and Requirements

1. 5+ years’ of experience as a high dollar commercial collector for hospital/facilities claims
2. Experience with an EHR system (such as Cerner or Epic)
3. Heavy insurance follow up experience for PPO/HMO claims
4. HS Diploma or GED Equivalent
5. Experience touching 40+ accounts per day
6. Experience working denials and submitting appeals
7. Experience working with DOFRs
8. 2+ years of Cerner experience

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].