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.

Qualifications

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.