EMS Patient Account Representative

Superior Air-Ground Ambulance•Addison Township, IL

13d

About The Position

The EMS Patient Account Representative works directly with patients and their health insurance providers to resolve open balances. Duties may include using payer portals to check claim status, updating patient 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.

Requirements

At least 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 or Electronic Remittance Advice.
Understanding of the difference between rejections and denials, and experience working accounts.
Strong verbal communication skills; a quick learner and motivated individual.
Ability to multitask and manage periods of high call volume.
Positive, can-do attitude and good judgment, including the ability to de-escalate situations.
Ability to receive and implement feedback.
Computer literacy and a typing speed of at least 45 WPM.
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 account balances.
Communicate professionally with callers, including customers, agencies, facilities, and hospitals.
Use one-step resolution practices for clients and patients through open communication.
Research patient accounts to verify health insurance coverage and audit accounts to confirm proper billing procedures were followed.
Screen and professionally respond to emails, faxes, mail, and other correspondence.
Enter data accurately and maintain consistent attention to detail.
Collect outstanding balances and identify, address, and resolve account discrepancies in accordance with company policies, procedures, and billing requirements.
Demonstrate knowledge of and compliance with insurance and local, state, and federal billing requirements.
Complete tasks efficiently both independently and as part of a group.
Handle assigned correspondence and perform other duties as assigned by managerial staff.
Scan and enter information from hospital faxes to update accounts for billing.
Bill insurance using paper claims and follow individual payor guidelines.
Review patient mail and attach documents containing verifiable information to patient accounts.