Medical Account Representative - Zero Balance Specialist

November 3

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PCG Consulting Group International

Project Management β€’ Information Technology β€’ Healthcare Technology β€’ Population Health Management β€’ Contact Center

201 - 500

Description

β€’ Manage a portfolio of zero-balance inpatient accounts. β€’ Assist in the billing and collection of medical services. β€’ Investigate and resolve billing errors, underpayments, and discrepancies. β€’ Conduct detailed audits of both inpatient and outpatient accounts. β€’ Identify trends in account discrepancies to maximize revenue collection opportunities. β€’ Work cross-functionally with internal teams. β€’ Act as a liaison for Salud clients. β€’ Ensure timely filing of claims.

Requirements

β€’ 2+ years of inpatient institutional billing experience, preferably with Medicaid and MCOs (Illinois Medicaid experience preferred). β€’ Proven track record of managing zero-balance accounts and successfully collecting significant sums. β€’ Strong understanding of Medicaid, MCOs, and state-specific regulations. β€’ Demonstrated ability to audit accounts and identify trends in revenue leakage. β€’ Excellent organizational, analytical, and communication skills, with meticulous attention to detail. β€’ Ability to work both independently and as part of a team. β€’ Proactive learner with the ability to quickly grasp new computer programs and websites. β€’ Strong problem-solving abilities to address complex billing and payment issues. β€’ Familiarity with revenue cycle management software and account auditing tools. β€’ Preferred: Knowledge of CPT/ICD-10 coding and experience with institutional claim processes.

Benefits

β€’ Dental insurance β€’ Health insurance β€’ Paid time off β€’ Vision insurance

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