[Hiring] Patient Accounts Representative @nimble

Role Description

This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition, with a laser focus on building a positive culture.

What you’ll be doing!

• Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data.
• Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility.
• Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data.
• Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs.
• Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate.
• Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail.
• When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations.
• Obtain patient payment information over the phone, process the payment and appropriately note the account.
• Escalate issues effectively to a supervisor or management for assistance.
• Responsible for ensuring all client specific protocols are followed during the patient billing cycles.
• Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter.

Qualifications

• High School Diploma or equivalent.
• Exceptional customer service skill set.
• Mandatory compliance with strict patient confidentiality policies.
• Detail oriented.
• Basic computer knowledge, with Excel experience.
• Strong organizational & time management skills.
• Good written and oral communication skills.

Requirements

• This is a remote role supporting a client in Honolulu, HI and will be required to work Hawaii–Aleutian Time Zone hours.
• 8-hour shift, Hawaii–Aleutian Time Zone.
• Monday - Friday.

Benefits

• Medical, Dental, Vision.
• 3 Weeks PTO + 9 Company Paid Holidays (includes day after Thanksgiving and Christmas Eve).
• 401K Match.