Patient Accounts Representative

Patient Accounts Representative

Salary Range: $22.50 to $30.84 hourly

Shift/Schedule: Monday - Friday, 8a - 4:30p; possible hybrid schedule 2-3 days on site

Would you like to have a career that makes a daily difference in people's lives? Do you want to be part of a caring, respectful, diverse community? If you answered yes to these questions, keep reading!

HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is, because everyone deserves great care.

Position Summary:

The Patient Accounts Representative is responsible for the effective and creative use of proven billing follow-up techniques, and self-directed initiative, to bill and collect payments and resolve outstanding account balances. This key member of the Revenue Cycle team is a problem-solver who enjoys communicating with patients, providing information, resolving complaints, and accepting payments. The Patient Accounts Representative is the subject matter expert for handling payment options, denials, rejections, and claims resubmission. Patient Accounts Representatives are required to deliver quality customer service to patients as well as internal organizational customers.

Your contribution to the team includes:

• Review, correct, and re-bill or appeal insurance claim denials and rejections according to established guidelines.
• Read and process insurance Explanation of Benefits (EOB).
• Communicate with patients and insurance companies over the phone in a non-combative and professional manner.
• Appropriately document, post, and report payment and denial information.
• Respond to patient and clinic staff inquiries, disputes, and complaints regarding patient accounts.
• Manage credit balances for both patient and insurance overpayments and issue refunds in a timely manner.
• Manage correspondence received from payers.
• Make telephone or letter contact with patients and payers who have balances with no payment.
• Maintain a relationship with our collection agency and work together to find the best solution for patients.
• Assist the Revenue Integrity Supervisor in troubleshooting and problem-solving by participating in process improvement projects utilizing the HealthPoint Lean Management System.
• Assist the Revenue Integrity Supervisor with on-the-floor training as needed.
• Knowledge of the No Surprises Act and Good Faith Estimates.
• Maintain patient confidentiality.
• Perform other duties as assigned by the supervisor and manager.
• Maintain good attendance, be punctual, and work the full scheduled shift as a condition of employment.
• Demonstrate respectful, professional, and appropriate behavior that supports a team-oriented work environment.
• Demonstrate a commitment to the mission, core values, and goals of HealthPoint and its healthcare delivery, including the ability to integrate values of justice, respect, compassion, excellence, and stewardship into appropriate programs and services.
• Attend staff meetings, in-service meetings and participate in agency committees and task force activities as required.

Must have's you'll need to be successful:

• Completion of a program or technical school for Billing preferred and/or 1 2 years of related billing experience in the medical and/or dental setting; equivalent combination of education and experience.
• Interpretation of insurance coverage plan, co-payments and deductible schedules and payment plans. EPIC experience preferred.
• CPT, ICD-10, HCPCs and CHCS certification preferred.
• Ability to read and interpret technical and other complex documents. Ability to write routine correspondence such as letters and memos. Ability to present information in one-on-one and small group situations to internal and/or external clients.
• Ability to define problems, collect data, establish facts and draw valid conclusions utilizing the HealthPoint Lean Management System. Ability to interpret an extensive variety of technical instruction. Constructive thinking and alternative short- to long- term solutions must be considered. Action plans must be developed and implemented.
• Possesses basic operating knowledge of computers. Beginning level of Word, Excel and Outlook required.

Proof of vaccination for COVID-19 is required, prior to start. HealthPoint does not accept the Johnson & Johnson COVID-19 vaccine as proof of vaccination. If you have received the Johnson & Johnson vaccine, we ask that you provide documentation demonstrating proof of an alternate COVID vaccine or vaccine series. All new employees are also required to show proof of immunizations and/or immunity to MMR (measles, mumps, rubella), Varicella, annual Influenza and TB QuantiFERON Gold Titer. Additionally, if you work in a HealthPoint clinic, Tdap (within last 10 years) is required. Hepatitis B is required for clinical employees with potential exposure to blood/blood products. All immunizations are a condition of employment. Upon hire, employees must provide proof of their immunizations and/or immune titer results prior to starting or no later than their fifth (5) business day of employment.

Where to gather your records:

• If you are providing immunizations from an electronic health record, please ensure that you obtain a copy of your full records rather than a screenshot. Each page of your records should include your first and last name, date of birth, and the name of the health system from which the records are pulled.
• If records do not show any data, please seek guidance from your provider for further assistance.
• If you are unable to provide proof as noted above, you can choose to have a lab titer drawn to check immunity or to be re-vaccinated. If you receive vaccination(s) or lab titers, you may obtain them through HealthPoint at no cost to you. This is a great opportunity to get your immunization record up to date at no additional expense.

HealthPoint is committed to offering all employees a competitive compensation package, including benefits and several other perks.

• Medical, Dental, and Vision for employees and their families/dependents
• HSA, FSA plans
• Life Insurance, AD&D and Disability Coverage
• Employee Assistance Program
• Wellness Program
• PTO Plan for full-time benefited and part-time benefited employees. 0-.99 years of service accrual of 5.23 hours per pay period. (pro-rated accruals for part-time benefited employees)
• Extended Illness Time Away of 40 hours (pro-rated for part-time benefited employees)
• 8 holidays and 3 floating holidays
• Compassion Time Away up to 40 hours
• Opportunity Time Off (extended time off for staff to invest in themselves) up to 8 weeks
• Retirement Plan with Employer Match
• Voluntary plans at a discount, such as life insurance, critical illness and accident insurance, identity theft insurance, and pet insurance.
• Development and Growth Opportunities

To learn more about HealthPoint, go to ! #practiceyourpassion

It is the policy of HealthPoint to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex (including pregnancy), age, national origin, marital status, military status, sexual orientation, because of sensory, physical, or mental disability, genetic information, gender identity or any other factor protected by local, state or federal law, and to prohibit harassment or retaliation based on any of these factors.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.