Beacon Health System-posted 3 months ago
South Bend, IN
5,001-10,000 employees
Religious, Grantmaking, Civic, Professional, and Similar Organizations

Reports to the Practice Manager and works under the direction of the Clinical Supervisor, Office Supervisor and/or Office Coordinator. Under general supervision and according to established policies and procedures, is responsible to process, reconcile and resolve patient accounts. This includes collecting payment from patients, setting up payment plans, verifying insurance coverage and eligibility, preparing good faith estimates, providing patient education, and ensuring accuracy of patient records. The patient account representative also assists with patient inquiries, resolves account discrepancies, and provides quality customer service.

  • Collecting and processing patient payments. Ensure correct application to patient's account.
  • Review accounts for billing accuracy and completeness.
  • Review delinquent accounts and following up with correspondence and telephone calls with payer or patient.
  • Assist with patient account inquiries for resolution.
  • Assist patients with terms for repayment structures.
  • Serve as a primary point of contact for patients regarding their account payments.
  • Collect patient cost-sharing amounts (e.g. copays, deductibles), and outstanding bad debt before service.
  • Receive, document, and respond to all patient correspondence in a prompt and courteous manner; accurately document all actions taken to reconcile outstanding balances.
  • Review self-pay undistributed and credit balance accounts and provide refunds to patients as necessary.
  • Provide education to patients on Beacon's financial assistance policy and application process, if needed. Direct patients to the appropriate resources as needed.
  • Communicate with Revenue Cycle teams, insurance companies, staff/leadership, and others to resolve problem accounts.
  • Access patient data in RevCycle/RevSpring to ensure that patient demographic and insurance information is correct.
  • Assist patients in understanding account balances, payment options, and financial policies.
  • Serve as on-site resource for managed care and insurance issues.
  • Educating and training associates regarding insurance and billing changes, as appropriate.
  • Working closely with BMG Central Billing Office associates.
  • Completing other job-related duties and projects as assigned.
  • Successful completion of a high school diploma; Associate's degree is preferred.
  • Experience in billing, collections or financial analysis.
  • Knowledge of medical coding and medical terminology is a plus.
  • Proficient in computer software and technology.
  • Strong customer service, interpersonal, and organizational skills.
  • Ability to handle diverse work functions and seamlessly transition between tasks and projects.
  • Understanding of basic math skills and knowledge of general accounting principles.
  • Demonstrated well-developed communication skills, both verbal and written.
  • Ability to handle sensitive and confidential information.
  • Knowledge of medical terminology, insurance processes, and patient billing.
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