Patient Account Representative
About The Position
Now Hiring: Patient Account Rep Remote: 150 mile radius from Franklin, TN Full Time Hours: Monday-Friday Our Benefits: Comprehensive Medical, Dental, & Vision insurance Competitive 401(k) plan with company match Company paid group term life insurance and short-term disability Generous PTO: Paid vacation, personal time, sick Leave, and extended sick leave Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being Career advancement opportunities across a leading national network Your Job as a Patient Account Representative: The Patient Account Representative will monitor patient balances to ensure compliance with group policies and provide information and direction to clinic staff regarding patient financial obligations. The patient account representative will provide direct support for clinic administrative staff and patients. Working as a branch of the CBO.
Requirements
- High school diploma or equivalent required.
- 3+ years plus of healthcare insurance experience, preferable with multi-site locations.
- Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
- Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
- Exercises sound judgment in responding to inquiries; understands when to route inquiries to the next level.
- Self-motivated with strong organizational skills and superior attention to detail.
- Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes.
Responsibilities
- Answer clinic questions regarding payers and patient accounts (co-pay, co-insurance, deductibles, etc.) Communicating patient responsibility as appropriate.
- Serve as an escalation point for patient financial questions or concerns.
- Responsible for Intake Billing set-up for their assigned clinics.
- Ensures Authorizations and Eligibility is correct, complete, and timely. Monitoring compliance with authorization and referral requirements.
- Requesting and maintaining authorizations, as necessary.
- Tracking self-pay balances for assigned Clinics.
- Review whether assigned clinics are securing patient payments on a timely basis.
- Negotiate and secure payment on aged balances. Propose discounts when appropriate.
- Complete Self-Pay adjustment form and submit for approval, see SOP.
- Identify and propose opportunities to increase collection rates and enhance patient understanding and awareness of their financial benefits and obligations.
- Monitor and report key metrics.
- Audit patient accounts for completeness and accuracy (i.e., signed financial consent(s), Insurance Verification Form (IVF), authorization, Insurance card (front/back), driver’s license, etc.).
- Ensuring Account corrections are made.
- Ensure that information is communicated accurately and timely between clinic staff and the region’s centralized billing office.
- Performs other duties and tasks as assigned
Benefits
- Comprehensive Medical, Dental, & Vision insurance
- Competitive 401(k) plan with company match
- Company paid group term life insurance and short-term disability
- Generous PTO: Paid vacation, personal time, sick Leave, and extended sick leave
- Employee Assistance Program (EAP) offering continued support to employee lifestyle and well-being
- Career advancement opportunities across a leading national network
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
