Patient Accounts Representative (Hawaii–Aleutian Time Zone)

nimble•Honolulu, HI

18d•Remote

About The Position

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. We provide services in nearly every US state and our team of experts works around the globe managing over $10 billion in net revenue as we continue to build and innovate a world class organization with people like you. Together, we embrace challenges, fuel innovation, and strive to exceed expectations. Healthcare means a lot more to us, we care about creating an environment where our coworkers, clients, and communities’ social, financial, and physical health is at the forefront of everything we do.

Requirements

High School Diploma or equivalent
Exceptional customer service skill set
Mandatory compliance with strict patient confidentiality policies
Detail oriented
Basic computer knowledge, with Excel experience
Strong organizational & time management skills
Good written and oral communication skills

Responsibilities

Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data
Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility
Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data
Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs
Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate
Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail
When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations
Obtain patient payment information over the phone, process the payment and appropriately note the account
Escalate issues effectively to a supervisor or management for assistance
Responsible for ensuring all client specific protocols are followed during the patient billing cycles
Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter