Patient Accounts Representative - Customer Service

Nationwide Children's Hospital • Columbus, OH

1d • Hybrid

About The Position

Assists patients and families with billing inquiries, resolves disputes, and collects payments for hospital services. This role involves addressing concerns and questions, resolving issues and complaints in a timely manner, and communicating with patients to discuss billing questions and payment options. The representative will negotiate payment arrangements and help families obtain financial assistance. Collaboration with collection agencies, insurance companies, and internal departments to collect payments is also a key part of the role. Additionally, the position processes all “Returned Mail,” including skip tracing and contacting doctor’s offices for information, and assists in resolving payer problems and billing and reimbursement issues. Maintaining patient records and ensuring confidentiality of sensitive information is paramount. The organization, Nationwide Children’s Hospital, emphasizes a culture where passion meets purpose, integrating Diversity, Equity, and Inclusion into its core values. It is a collaborative environment dedicated to improving the lives of children through innovative care and groundbreaking research, where employees feel their work is more than a job, but a calling to make a significant impact.

Requirements

• High school diploma or GED, required.
• Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third-party payers.
• Ability to relate to diverse age and demographic backgrounds.
• Knowledge of Healthy Start, BCMH, AEMA and Financial Assistance.
• The ability to do data entry and work a calculator.
• Problem identification and problem solving skills are required.
• Excellent interpersonal, verbal, and written communication skills.
• Excellent organization skills and the ability to comprehend and follow written and verbal instructions.
• Four years' experience in customer service, required.
• Two years' experience in medical billing and claims follow-up, required.
• One year experience working on a mainframe computer.
• Experience using Outlook, Word and Excel, required.

Nice To Haves

• Associates degree, preferred.

Responsibilities

• Addresses concerns and questions and resolves issues and complaints in a timely manner.
• Communicates with patients to discuss billing questions and payment options.
• Negotiates payment arrangements and helps families obtain financial assistance.
• Collaborates with collection agencies, insurance companies, and internal departments to collect payments.
• Processes all “Returned Mail” – including skip tracing and contacting doctor’s offices for information.
• Assists in resolving payer problems and billing and reimbursement issues.
• Maintains patient records and ensures confidentiality of sensitive information.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees