Patient Account Representative

VARIETY CARE INC•Oklahoma City, OK

11d•Onsite

About The Position

The Patient Account Representative is responsible for managing self-pay patient accounts by ensuring account accuracy, reviewing financial documentation, applying financial assistance programs, and assisting patients in resolving outstanding balances. This position supports accurate patient billing while helping eligible patients access available financial assistance and payment options. The Patient Account Representative serves as a primary point of contact for patients regarding self-pay accounts and collaborates with Revenue Cycle staff to improve collections, reduce self-pay accounts receivable, and provide an exceptional patient financial experience.

Requirements

High school diploma or GED equivalent required
One (1) to two (2) years of customer service experience in an office or healthcare environment
Strong attention to detail
Excellent verbal communication and customer service skills
Basic computer proficiency
Ability to navigate multiple software systems
Strong organizational and documentation skills
Protect patient confidentiality and ensure compliance with HIPAA and organizational policies.
Maintain compliance with Medicare, Medicaid, and organizational billing requirements.

Nice To Haves

Experience working with patient accounts, collections, or financial assistance programs preferred
Customer service experience in a medical office
Experience with patient financial assistance programs
Healthcare billing experience
Bilingual (English/Spanish)
Basic knowledge of insurance, CPT coding, and medical terminology

Responsibilities

Manage self-pay patient accounts, ensuring accuracy and assisting patients with outstanding balances.
Review financial documentation and apply financial assistance programs.
Support accurate patient billing and help eligible patients access financial assistance and payment options.
Serve as a primary point of contact for patients regarding self-pay accounts.
Collaborate with Revenue Cycle staff to improve collections and reduce self-pay accounts receivable.
Provide an exceptional patient financial experience.
Review self-pay encounters for accuracy before generating patient statements.
Verify appropriate discounts are applied, including Sliding Fee Scale applications and proof of income.
Make billing corrections and account adjustments for accurate patient balances and timely reimbursement.
Validate patient financial information and maintain accurate self-pay account records.
Request, collect, scan, and upload documentation for patient financial assistance and account processing.
Review patient accounts for compliance with organizational financial assistance policies.
Respond to patient inquiries about account balances, insurance benefits, deductibles, copayments, and financial responsibilities.
Educate patients on available financial assistance programs and eligibility requirements.
Assist patients in completing financial assistance applications and gathering required documentation.
Coordinate payment arrangements with Patient Account Resolution Specialists.
Answer incoming phone calls related to patient billing, balances, payment plans, and financial assistance.
Provide professional and compassionate customer service while resolving patient account concerns.
Coordinate with Claims Resolution Specialists and Coders to investigate denied claims, credit balances, and account discrepancies.
Assist front office staff with patient billing and eligibility questions.
Monitor self-pay account activity and identify trends or recurring issues affecting reimbursement.
Track and communicate ongoing billing issues and process improvement opportunities to management.
Maintain current knowledge of organizational financial assistance programs, billing policies, and payer requirements.
Maintain complete, accurate, and timely documentation within the electronic medical record and billing systems.
Protect patient confidentiality and ensure compliance with HIPAA and organizational policies.
Maintain compliance with Medicare, Medicaid, and organizational billing requirements.
Participate in quality improvement initiatives, departmental meetings, and special projects.
Meet established productivity, quality, and timeliness expectations.
Support organizational initiatives that improve patient access, patient satisfaction, and financial performance.
Perform other duties as assigned.