Patient Account Representative
: Job Details :

Duties:

Main responsibilities include but not limited to answering phone calls in our Collection's Department

Responsible for addressing patients' concerns regarding their accounts, help with billing issues and collect payment

Escalates patient complaints directly to supervisor or manager if unresolved

Duties include, but not be limited to review, understand and handling of claims, adjusting accounts, generating billing statements, processing payments and refunds

Reviewing accounts if patient request financial hardship. Obtain proof of income as well as documentation to determine if patient qualifies for hardship waivers

Establishes and maintains effective communication and good working relationship with co-workers for the patient's benefit.

Communicates appropriately and clearly to Manager/Supervisor, and other superiors.

Requirements:

• Knowledge of basic medical insurance coverage and/or types such as Commercial, Medicare & Medicaid
• Learns and maintains knowledge of current patient database and billing system
• Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
• Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.
• Utilizes initiative; maintains set level of productivity goals with ability to consistently and accurately

Experience:

• Medical office or patient accounts preferred

Skills:

• Superior customer service skills and phone etiquette
• Attention to detail and accuracy
• Ability to work as part of a health care team.
• Effectively communicate with physicians, patients, insurers, colleagues, and staff
• Basic Microsoft Office, including Outlook, Word, and Excel

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)