Patient Account Representative

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.


Job Summary


The Patient Account Representative is responsible for delivering exceptional service to individuals with inquiries related to specialized medical and surgical billing. This role plays a critical part in the revenue cycle by assisting patients with questions about charges, payment plans, insurance coverage, and account balances, while ensuring accurate, timely, and professional communication. This is a full-time, on-site position based at our corporate headquarters, reporting directly to the VP of Revenue.


Key Responsibilities

• Patient Communication: Respond to inbound and outbound patient inquiries regarding specialized clinical billing, payment arrangements, insurance benefits, and outstanding balances.
• Account Clarification: Clearly and professionally explain charges, financial responsibilities, and statement breakdowns to patients.
• Data Management: Verify and update patient demographics, insurance information, and payment status within the centralized billing system.
• Payment Processing: Process patient payments, establish authorized payment plans, and update account records accurately.
• Issue Escalation: Route complex account issues and advanced disputes to the appropriate billing specialists or management team members.
• Internal Collaboration: Partner with internal billing and coding teams to clarify clinical documentation or resolve claims discrepancies.
• Omnichannel Support: Respond to patient inquiries thoroughly through email, voicemail, and the secure patient portal.
• Documentation: Accurately log all patient interactions, notes, and action steps within the internal system.
• Compliance: Maintain strict compliance with HIPAA regulations alongside company privacy and security policies.
• Financial Administration: Assist with patient statement processing, patient refunds, and follow-up tasks regarding balance billing issues.
• Special Projects: Support internal audits, claim follow-up tasks, and special administrative projects as needed.
• General Duties: Fulfill other administrative and operational duties as assigned.

Qualifications

• Spanish Bilingual - Fluent in English and Spanish
• Solid understanding of EOBs, payment plans, medical terminology, and HIPAA regulations
• Background within an ASC or hospital environment is preferred

Skills

• Spanish Bilingual - Fluent in English and Spanish
• Solid understanding of EOBs, payment plans, medical terminology, and HIPAA regulations

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).


Medix Overview:


With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.


* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.