Medical Account Representative - Zero Balance Specialist

November 3

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PCG Consulting Group International

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Project Management • Information Technology • Healthcare Technology • Population Health Management • Contact Center

201 - 500 employees

Founded 2004

⚕️ Healthcare Insurance

Description

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

Requirements

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

Benefits

• Dental insurance • Health insurance • Paid time off • Vision insurance