Patient Accounts Rep

Patient Accounts Rep

Requirements

• H.S. Diploma or GED required
• 1-2 years of experience in patient accounts, medical billing, insurance verification, or customer service in a healthcare setting required
• Basic knowledge of medical billing, insurance claims, and patient financial services.
• Proficiency in payment processing, account reconciliation, and financial transactions.
• Strong attention to detail and ability to review patient accounts for accuracy and compliance.
• Excellent verbal and written communication skills, with the ability to explain billing statements and payment options to patients.
• Proficiency in Microsoft Office Suite (Excel, Outlook, Word) and healthcare billing software.
• Strong problem-solving and organizational skills, with the ability to prioritize tasks and meet deadlines.
• Knowledge of HIPAA regulations and ability to maintain patient confidentiality.

Responsibilities

• Responds to patient inquiries regarding account balances, billing statements, and insurance claims, ensuring timely resolution within two business days.
• Processes and posts credit card payments daily, ensuring compliance with company policies and financial controls.
• Verifies and updates insurance coverage, confirming patient-provided information before adding coverage in the Athena software and setting claims for rebilling.
• Establishes patient payment arrangements in accordance with organizational policies and guidelines.
• Processes received mail and correspondence, ensuring account-related documents are handled within two business days.
• Closes daily and monthly payment/deposit batches, ensuring reconciliation accuracy and compliance with accounting policies.
• Logs inbound and outbound calls in the ticketing system, maintaining accurate documentation of patient interactions.
• Collaborates with internal departments, including billing, revenue cycle, and insurance verification teams, to resolve patient account concerns efficiently.
• Assists with financial assistance applications and payment plan inquiries, providing guidance to patients based on eligibility criteria.
• Performs other duties as assigned.
• Complies with all policies and standards.

Preferred Qualifications

• Associate Degree in Business, Healthcare Administration, Medical Billing, or a related field preferred
• 1-3 years of experience in a call center work environment preferred
• Experience with Athena software, electronic health records (EHR), and insurance billing systems preferred.