Patient Account Representative Remote

AkuminPlantation, FL
75d

About The Position

The Patient Account Representative (PAR) is the organization’s liaison between the patient (or patient’s relatives) and the healthcare provider. The primary function of a PAR is to handle patient questions, complaints, and concerns while also being able to explain policies and procedures to the patient. They are required to be familiar with a variety of concepts, practices, and policies including but not limited to patient and insurance billing. Specific duties include, but are not limited to: Ensure inbound calls are handled timely, efficiently, and appropriately Explain patient balances and collect payment from patients Review patient information to determine why claims were not paid, update accordingly and resubmit. Notate accounts with current actions and follow up appropriately Communicate with appropriate Clinic Administrator (CA) regarding patient complaints Communicate with posting and billing departments regarding possible errors on patient accounts. Research and communicate to Collection Manager procedures to help Collections operate more efficiently and improve days outstanding. Communicates to Collection Manager any concerns and issues impacting collections of outstanding receivables or the company. Cooperates and maintains good rapport with staff, clients and Management team. Maintain a professional approach with confidentiality. Assures protection and privacy of health information as attained through written, electronic or oral disclosures. Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as company policies and procedures. Other duties as assigned.

Requirements

  • High School Graduate or equivalent
  • 1-2 years of Healthcare and/or customer service experience required
  • Bilingual (English/Spanish) is preferred
  • Ability to problem solve and think critically while handling a large volume of calls daily
  • Healthcare billing knowledge
  • Professional appearance and demeanor are required
  • Knowledge of various insurance plans and providers
  • Knowledge of Federal and State regulations related to Healthcare billing
  • A full understanding of customer service and insurance follow-up process is preferred
  • Knowledge of CPT & ICD-10 is preferred
  • Excellent communication and verbal skills including proper grammar
  • Excellent interpersonal skills including conflict management
  • Ability to multi-task and work well under pressure
  • Strong leadership and organizational skills
  • Advanced knowledge of UB 04, HCFA 1500, and any other billing forms and filing requirements
  • Intermediate skills in Microsoft Office (Word, Excel)
  • A commitment to excellent customer service as well as a positive proactive attitude
  • 10-key by touch and type 50-60 wpm
  • Familiarity with current software packages such as Microsoft Word, Excel and Outlook
  • Medical terminology familiarity
  • Familiarity with billing practices and guidelines

Responsibilities

  • Ensure inbound calls are handled timely, efficiently, and appropriately
  • Explain patient balances and collect payment from patients
  • Review patient information to determine why claims were not paid, update accordingly and resubmit
  • Notate accounts with current actions and follow up appropriately
  • Communicate with appropriate Clinic Administrator (CA) regarding patient complaints
  • Communicate with posting and billing departments regarding possible errors on patient accounts
  • Research and communicate to Collection Manager procedures to help Collections operate more efficiently and improve days outstanding
  • Communicate to Collection Manager any concerns and issues impacting collections of outstanding receivables or the company
  • Cooperate and maintain good rapport with staff, clients and Management team
  • Maintain a professional approach with confidentiality
  • Assure protection and privacy of health information as attained through written, electronic or oral disclosures
  • Seek guidance and remain knowledgeable of, and comply with, all applicable federal and state laws, as well as company policies and procedures
  • Perform other duties as assigned

Benefits

  • Equal opportunity employer
  • Strength through diversity
  • Access to cutting-edge technologies
  • Supportive work environment driven by trust and collaboration
  • Opportunities for personal and professional growth
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