Patient Accounts Representative

Role:

Assist patients with all aspects of their clinic bill and health insurance claims. Counsel patients regarding insurance and billing questions

Essential Functions & Responsibilities:

• Access patient records and update payment and medical insurance information
• Process patient payments and refunds.
• Identify medical coding mistakes, typing errors, as well as patient underpayments or overpayments and rectifies them accordingly.
• Create suitable payment plans for patients based on their monthly income and financial obligations.
• Communicate with medical insurance providers to verify whether patient treatments will be covered.
• Answer patients questions in person and by phone regarding unsettled medical bills, reimbursements, and billing discrepancies.
• Contact patients by phone or via mail to inform them of overdue balances.
• Contact collection agencies or attorneys to initiate the payment collection process for delinquent accounts.
• Assist patients in applying for financial assistance and determine eligibility.
• Consistently demonstrate good use of time and resources.
• Attend training events and maintain competency as required to perform duties.
• Regularly support compliance and accreditation efforts as assigned (e.g., OSHA, HIPAA).
• Be familiar with and consistently implement the organizations mission and all approved policies, protocols, and procedures.

Performance Measures:

• Serves on committees and work groups upon request.
• Performs other duties that may be assigned from time to time.

Knowledge & Skills:

• Experience: One year of medical office or equivalent experience required.
• Education: High School Education or equivalent required. Completion of a postsecondary education program in Medical Office Administration is preferred. Knowledge of medical terminology and patient billing preferred.
• Other Skills: Intermediate knowledge of Microsoft Word, Outlook, and Excel applications. Strong analytical and problem-solving skills. Strong interpersonal skills including courtesy, tact, and professionalism. Excellent organizational skills. Effective communication skills. Exceptional customer service skills. Detail-oriented. Ability to maintain good judgement when handling sensitive and personal information.

Physical Requirements:

• Work is performed in a typical office environment, indoors with occasional equipment noise and frequent interruptions.
• Work may require sitting for long periods of time; also stooping, bending, and stretching for files and supplies.
• Requires manual dexterity sufficient to operate a computer keyboard.
• Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts.

This Job Description is not a complete statement of all duties and responsibilities comprising the position.