OCOM Patient Account Representative - Upfront Collections

USPI•Oklahoma City, OK

18d•Onsite

About The Position

The Patient Account Representative supports OCOM’s Business Office by helping patients understand their financial responsibilities before surgery and maintaining accurate patient account information. The role serves as a liaison among patients, insurance carriers, and the Business Office, with a focus on compassionate customer service, insurance verification, and accurate reimbursement support. It involves managing a high volume of patient interactions, including an average of 40–50 outbound calls per day, and documenting communications and account activity in the Patient Accounting System. The position is primarily performed in a temperature-controlled office and involves extended computer and telephone use. Candidates should be comfortable sitting for much of the workday and performing detailed computer-based work. Occasional lifting of up to 20–30 pounds may be required. Minimal exposure to blood, body fluids, or infectious diseases may occur.

Requirements

High school diploma or equivalent.
Strong customer service and communication skills.
Excellent organizational skills and attention to detail.

Nice To Haves

Experience with patient accounting systems and insurance benefit verification processes.
Knowledge of insurance benefits, patient responsibility calculations, and reimbursement procedures.
Experience in a healthcare, medical office, or business office setting.
Familiarity with managed care contracts and patient financing programs.
Strong interpersonal and customer service skills.
Ability to communicate financial information clearly and compassionately.
Ability to manage multiple priorities in a fast-paced environment.
Strong problem-solving and critical-thinking abilities.
Accurate data entry and documentation skills.
Commitment to confidentiality and professionalism.

Responsibilities

Contact patients and guarantors before scheduled procedures to discuss estimated co-pays, deductibles, and co-insurance amounts.
Communicate financial responsibility information promptly after benefit verification and estimates are available.
Educate patients about payment options, including CareCredit and SurgiCARES.
Document patient communications, payment arrangements, and transactions in the Patient Accounting System (PAS).
Respond to patient billing inquiries professionally and accurately while providing excellent customer service.
Maintain thorough documentation of insurance communications and account activity.
Manage a high-volume call environment, averaging 40–50 outbound calls per day.
Review insurance benefits and maintain knowledge of managed care contracts and reimbursement processes.
Scan and maintain insurance verifications, allowable calculations, authorizations, and related records.
Identify insurance carrier issues and communicate them to department leadership.
Protect patient confidentiality and comply with applicable privacy regulations and organizational policies.