Patient Accounts Representative

Role:

Assist patients with all aspects of their clinic bill and health insurance claims. Counsel patients regarding insurance and billing questions

Essential Functions & Responsibilities:

• Access patient records and update payment and medical insurance information
• Process patient payments and refunds.
• Identify medical coding mistakes, typing errors, as well as patient underpayments or overpayments and rectifies them accordingly.
• Create suitable payment plans for patients based on their monthly income and financial obligations.
• Communicate with medical insurance providers to verify whether patient treatments will be covered.
• Answer patients questions in person and by phone regarding unsettled medical bills, reimbursements, and billing discrepancies.
• Contact patients by phone or via mail to inform them of overdue balances.
• Contact collection agencies or attorneys to initiate the payment collection process for delinquent accounts.
• Assist patients in applying for financial assistance and determine eligibility.
• Consistently demonstrate good use of time and resources.
• Attend training events and maintain competency as required to perform duties.
• Regularly support compliance and accreditation efforts as assigned (e.g., OSHA, HIPAA).
• Be familiar with and consistently implement the organizations mission and all approved policies, protocols, and procedures.

Performance Measures:

• Serves on committees and work groups upon request.
• Performs other duties that may be assigned from time to time.