The Patient Claims Representative reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Organizes inpatient and outpatient claims for electronic or hard copy mail and forwards to appropriate third party payers. Being a Patient Claims Representative typically reports to a supervisor or manager. Requires a high school diploma or its equivalent. Working as a Patient Claims Representative typically requires 1-3 years of related experience. May be entr ...y level if some experience in the skill. Gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision.More Show Less
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