Patient Accounts Representative "Biller"

We are looking to hire an efficient Patient Account Representative to handle all billing matters and verify medical insurance coverage for various patient treatments. The Patient Account Representative’s responsibilities include liaising with medical insurance providers to resolve payment issues, assisting patients in understanding medical insurance benefits, and processing patient refunds. You should also ensure that patients fulfill their contractual obligations concerning payment plans.

To be successful as a Patient Account Representative, you should be detail-oriented and knowledgeable of medical terminology, and billing is preferred. Ultimately, an outstanding patient account representative should demonstrate exceptional communication skills and promptly convince patients to settle their accounts.

ESSENTIAL QUALIFICATIONS

Education: High school diploma or GED. Completion of a postsecondary education program in Medical Office Administration is preferred.

Licensure:

• All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS) (for clinical staff), or Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis, with up to a three-month grace period after the expiration date.

Certification(s):

• Certified Patient Account Specialist (CPAS) or Certified Patient Account Technician (CPAT) accreditation is advantageous.

Skills:

• Knowledge of medical terminology and billing is preferred.
• Strong analytical and problem-solving skills.
• Effective communication and organizational skills.
• Exceptional customer service skills.

Work Experience:

• Prior knowledge of medical terminology and healthcare billing experience is preferred.

ESSENTIAL FUNCTIONS

1. Maintaining patient records, which includes detailing patient treatments and diagnoses and updating payment and medical insurance information.
2. Processing patient payments and refunds.
3. Identify medical coding mistakes, typing errors, and patient underpayments or overpayments and rectify them accordingly.
4. Creating suitable patient payment plans based on their monthly income and financial obligations.
5. Communicating with medical insurance providers to verify whether patient treatments will be covered.
6. Answering patients’ questions regarding unsettled medical bills, reimbursements, and billing discrepancies.
7. Contact patients through email, written correspondence, or telephone to inform them of overdue balances.
8. Contacting collection agencies or attorneys to initiate the payment collection process in cases of delinquent accounts.

NON-ESSENTIAL FUNCTIONS

1. Performs additional duties as assigned.
2. Adheres to facility Values, Service Excellence and Standards of Excellence.