PPSI
Patient Accounts Rep
,
Full Time
Job Summary
The Patient Accounts Representative is responsible for assisting patients, clinics, and internal stakeholders with account inquiries, payment processing, and insurance verification. This role ensures accurate and timely resolution of patient financial concerns, including billing questions, payment posting, and claim rebilling, while maintaining compliance with corporate policies and regulatory standards.
Essential Functions
The Patient Accounts Representative is responsible for assisting patients, clinics, and internal stakeholders with account inquiries, payment processing, and insurance verification. This role ensures accurate and timely resolution of patient financial concerns, including billing questions, payment posting, and claim rebilling, while maintaining compliance with corporate policies and regulatory standards.
Essential Functions
- Responds to patient inquiries regarding account balances, billing statements, and insurance claims, ensuring timely resolution within two business days.
- Processes and posts credit card payments daily, ensuring compliance with company policies and financial controls.
- Verifies and updates insurance coverage, confirming patient-provided information before adding coverage in the Athena software and setting claims for rebilling.
- Establishes patient payment arrangements in accordance with organizational policies and guidelines.
- Processes received mail and correspondence, ensuring account-related documents are handled within two business days.
- Closes daily and monthly payment/deposit batches, ensuring reconciliation accuracy and compliance with accounting policies.
- Logs inbound and outbound calls in the ticketing system, maintaining accurate documentation of patient interactions.
- Collaborates with internal departments, including billing, revenue cycle, and insurance verification teams, to resolve patient account concerns efficiently.
- Assists with financial assistance applications and payment plan inquiries, providing guidance to patients based on eligibility criteria.
- Performs other duties as assigned.
- Complies with all policies and standards.
- H.S. Diploma or GED required
- Associate Degree in Business, Healthcare Administration, Medical Billing, or a related field preferred
- 1-2 years of experience in patient accounts, medical billing, insurance verification, or customer service in a healthcare setting required
- 1-3 years of experience in a call center work environment preferred
- Experience with Athena software, electronic health records (EHR), and insurance billing systems preferred
- Basic knowledge of medical billing, insurance claims, and patient financial services.
- Proficiency in payment processing, account reconciliation, and financial transactions.
- Strong attention to detail and ability to review patient accounts for accuracy and compliance.
- Excellent verbal and written communication skills, with the ability to explain billing statements and payment options to patients.
- Proficiency in Microsoft Office Suite (Excel, Outlook, Word) and healthcare billing software.
- Strong problem-solving and organizational skills, with the ability to prioritize tasks and meet deadlines.
- Knowledge of HIPAA regulations and ability to maintain patient confidentiality.