[Hiring] Patient Account Representative @Pediatric Associates Family of Companies

Role Description

Remote Opportunity for BILINGUAL Spanish/English Patient Account Representative

Schedule: Monday through Friday 9:00am - 6:00pm CST

The Patient Account Representative is responsible for managing and monitoring all tasks and communication related to the intake of information from guarantors and/or delinquent accounts to solicit payment. Other duties include:

• Keeping records of collections and status of accounts.
• Taking incoming and making outbound calls to assist with patient account balances.

Essential Functions of the Job

• Monitor queue to ensure calls are being handled professionally and appropriately.
• Perform analysis, research, and make decisions to appropriately handle phone inquiries.
• Review accounts and complete adjustments to ensure correct reimbursement as instructed by Manager.
• Identify delinquent accounts, aging period, payment sources, and correct any claim processing errors identified.
• Manage requests for medical records, correspondence, and/or Explanation of Benefits (EOB).
• Responsible for collection efforts and for taking appropriate steps to have claims processed for payment.
• Keep Manager abreast of any changes, document any problems related to work methodology, and recommend actions.
• Identify and resolve patient billing disputes by evaluating patients’ financial status, establishing budget payment plans, collecting payments, and refunding patient credits.
• Demonstrate good judgment and abide by the company’s code of conduct, ethics, employee handbook, policies and procedures, and other corporate mandates.
• Accountable for limiting the use and disclosure of Protected Health Information (PHI) to the Minimum Necessary in order to perform job.
• Other various duties as assigned, including cross-training in other functional areas.

Performance Requirements

• Adhere to all organizational information security policies and protect all sensitive information including ePHI and PHI in accordance with organizational policy, Federal, State, and local regulations.

Typical Working Conditions

• Indoor Work
• Operating Computer
• Reach Outward
• Manual Dexterity
• Lift/Carry 10 lbs. or less
• Sitting
• Other Physical Requirements: Vision, Sense of Sound, Sense of Touch

Education

• High School Diploma or equivalent required.

Licensure/Certification

• None

Experience

• Minimum 1 year of customer service experience in a healthcare setting required.

Knowledge, Skills & Abilities

• Knowledge of billing and collection policies and procedures, all types of insurance (HMO, PPO, POS, Medicaid, etc.).
• Skill in defining problems and interpreting billing information.
• Ability to multi-task in a fast-paced environment while meeting established production and quality goals/metrics.
• Strong organizational skills, with the ability to effectively prioritize work on a daily basis and follow up on open items in a timely manner.
• Must have strong verbal, written, and interpersonal communication skills.
• Demonstrates ability to work well in a team environment.
• General PC knowledge including Microsoft Office, Internet, and Email.