The Patient Account Representative works closely with our customers, staff, and external vendors to assist with accounts receivable resolution. The representative ensures daily processing of outstanding balances. This position is responsible for maintaining compliance and supporting continuous improvement efforts.
Essential Job Functions:
Evaluates, develops, and implements action plans to arrange payment of outstanding balances.
Performs account analysis and educates guarantors regarding payment issues on outstanding patient balances.
Assists guarantors who have minimal or no insurance coverage to determine a course of action to maximize prompt payment and minimize bad debt.
Initiates collection activities and carries out collection follow up including working closely with the collection agencies on patient accounts and reconciliations that have gone to bad debt.
Posts payments and/or adjustments on assigned accounts and reviews and/or processes self-pay credit balances.
Receives and responds to patient, professional, and clinical inquiries in person or by telephone and provides accurate processing and billing support. Explains insurance benefits, payments, claim submission, billing, and general Business Office procedures.
Reviews, verifies, and evaluates demographic and third-party payer information as they are related to patient accounts.
Addresses patient complaints, financial concerns and any other issues in a courteous and professional manner using resources available both internally and externally.
Manages all incoming internal and external customer phone calls, e-mails, and written correspondence by researching, resolving and documenting all issues and concerns that are received.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Education:
• Preferred: Associates - Business- OR -Associates - Related Field
Work Experience:
• Required: A minimum of 2 years Related Experience
