Patient Account Representative 3

Patient Account Representative 3

Become part of our team, and join our mission to make life healthier for everyone in our community.

Our PATIENT ACCOUNT SUPPORT SERVICES department has an outstanding opportunity for a full-time PATIENT ACCOUNT REPRESENTATIVE 3.

This individual will: Handle a high volume of calls with patients, their families or representatives, insurance companies, attorneys, corporate clients, etc. in a structured environment working under a set schedule and tight timeframes; Assist patients or their representatives in understanding their financial obligation and developing solutions to meet their financial responsibilities; Positions are also responsible to: Prepare accounts receivable adjustments; Utilize available resources to obtain eligibility information; Update patient demographic and financial information; Communicate with Medical Centers' staff, patients and payers, as required to obtain or verify billing information or payment; Answer questions, resolve concerns and document specific actions taken on individual accounts in the Epic Hospital Billing and/or Professional Billing systems.

This position is responsible for considering the status of the entire patient account and for exercising judgment to determine appropriate course of action to bring account to resolution.

Responsibilities:

• Handle a high volume of calls with patients, their families or representatives, insurance companies, attorneys, corporate clients, etc. in a structured environment working under a set schedule and tight timeframes;
• Obtain detailed information from patient and relay information to appropriate medical center, billing department, or patient relations staff as necessary to improve service to patients;
• Research, resolve and respond to patient inquiries;
• Assist patients or their representatives in understanding their financial obligation and developing solutions to meet their financial responsibilities;
• Provide initial telephone screening for financial assistance and assist patients in completing financial assistance applications;
• Coordinate with self-pay and collection outsourcing partners to help resolve patient issues and/or communicate outcomes;
• Set up payment plans
• Assist in orienting and training new staff;
• Meet deadlines and departmental quality and performance standards.
• Prepare accounts receivable adjustments.
• Utilize available resources to obtain eligibility information.
• Update patient demographic, financial and payer information in applicable systems.
• Communicate with Medical Centers' staff, patients and/or third party payers as required to obtain or verify billing information, payment, and answer questions or resolve concerns.
• Review the status of the entire patient account and exercise judgment to determine appropriate course of action for resolution.
• May skip trace return mail accounts.
• May analyze bankrupt or deceased patient accounts.
• May maintain spreadsheets and write original correspondence using Microsoft Excel and Word.

Desired:

• Knowledge of UB, CMS 1500, ADA and other utilized billing forms and payer requirements.
• Knowledge of Epic Hospital Billing and/or Professional Billing, and registration systems.

Requirement:

High School graduation or equivalent AND three years of experience in patient accounting, customer service, or a related office environment OR Equivalent education/experience.