Patient Account Representative

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