EMS Patient Account Representative

Paramedic Billing Services•Elmhurst, IL

15d•$20 - $23

About The Position

The EMS Patient Account Representative works directly with patients and their health insurance providers to resolve open account balances. Duties may include using payer portals to check claim status, updating insurance policies, reviewing or updating ICD-10 codes, working with CMS-1500 forms, communicating with attorneys, and processing payments. Representatives conduct insurance verification as needed and must complete prebilling training to qualify for the role. The position requires customer service and account-resolution work across phone calls, email, fax, mail, and other correspondence. Representatives research and audit patient accounts, verify insurance coverage, collect outstanding balances, resolve discrepancies, and follow company and billing policies. The role also involves scanning and entering hospital fax information, submitting paper insurance claims according to payer guidelines, and attaching verifiable documents received by mail to patient accounts. The role is Spanish bilingual, with fluency required. It requires computer literacy, accurate data entry, the ability to handle high call volumes and multiple applications at once, and the ability to work individually and as part of a group in an office environment. The listed pay range is USD $20.00–$23.00 per hour, with rates based on years of experience.

Requirements

Minimum two years of experience in customer care, account management, or a similar role.
Fluency in Spanish is required.
Ability to read and understand an Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA).
Understanding of the difference between rejections and denials and experience working accounts.
Excellent verbal communication skills.
Ability to learn quickly and stay motivated.
Ability to multitask and manage periods of high call volume.
Positive, can-do attitude and sound judgment, including the ability to de-escalate situations.
Ability to receive and implement feedback.
Computer literacy and typing speed of at least 45 words per minute.
Experience working in an active office environment.
Ability to work with two monitors and split screens while operating multiple sites simultaneously.
Ability to sit or stand for at least eight hours in an office environment.
Ability to use Word, Excel, email, chat applications, workflow sites, and other software applications.
Ability to read, comprehend, and apply job-related rules, policies, and procedures.

Nice To Haves

College education is preferred but not required.
Healthcare knowledge is preferred.

Responsibilities

Place and receive calls about insurance billing questions and other patient-service matters.
Process accounts according to the actions needed to resolve balances.
Communicate with customers, agencies, facilities, hospitals, and other callers.
Use one-step resolution practices through open communication with clients and patients.
Research patient accounts to verify health insurance coverage and audit accounts to confirm proper billing procedures were followed.
Screen and professionally handle emails, faxes, mail, and other correspondence.
Maintain accurate data entry and attention to detail.
Collect outstanding balances and identify, address, and resolve account discrepancies in accordance with company and billing policies and procedures.
Comply with insurance and local, state, and federal billing requirements.
Complete tasks efficiently both independently and in a group environment.
Handle assigned correspondence and other duties assigned by managerial staff.
Scan and enter information from hospital faxes to update accounts for billing.
Submit paper insurance claims and follow individual payer guidelines.
Review patient mail and attach documents with verifiable information to patient accounts.
Conduct insurance verification as needed.
Complete required prebilling training.
Work directly with patients and insurers to resolve open balances, including checking claim status through payer portals, updating insurance policies, reviewing or updating ICD-10 codes, working with CMS-1500 forms, communicating with attorneys, and processing payments.