Patient Account Representative

Job Description Summary

We are seeking a detail-oriented and knowledgeable Revenue Cycle Specialist to join our team, focusing on Inpatient Medicare Denials. This role is responsible for reviewing, analyzing, and resolving denied inpatient Medicare claims using Epic. The ideal candidate will have a strong understanding of Medicare guidelines, inpatient billing, and denial management workflows.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC002309 SYS - Hospital Patient Accounting

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

40

Work Shift

Job Description

Key Responsibilities:

• Review and analyze inpatient Medicare claim denials in Epic.
• Prepare and submit timely and accurate appeals and reconsideration requests.
• Collaborate with clinical, coding, and billing teams to gather necessary documentation.
• Ensure compliance with Medicare regulations and internal policies.
• Participate in process improvement initiatives to reduce denial rates.

Additional Job Description

Qualifications:

High school diploma or equivalent (required).

• 2+ years of experience in hospital revenue cycle, billing, or denial management.
• Proficiency in Epic (specifically in denial workflows and work queues).
• Strong knowledge of Medicare billing guidelines and inpatient reimbursement methodologies.
• Excellent analytical, organizational, and communication skills.
• Knowledge of working in DDE (Direct Data Entry) systems is a plus

Work Environment & Schedule:

• 100% remote position.
• Standard schedule: 8 hours per day, Monday through Friday.
• Fast-paced, deadline-driven environment.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees