Job Description

Overview:

We are seeking a detail-oriented and customer-focused Patient Account Representative to join our team. This role is responsible for the timely and accurate resolution of outstanding patient accounts, including payments due from insurance carriers, patients, and refund processing. The ideal candidate will have strong communication and problem-solving skills, a solid understanding of insurance billing, and a commitment to delivering excellent service to patients and internal teams.

Key Responsibilities:

• Review and manage patient accounts to ensure timely resolution of discrepancies and outstanding balances.
• Communicate effectively with patients, insurance companies, and third-party payers via phone, email, and written correspondence.
• Accurately complete forms, update records, and correct claims in a timely manner.
• Negotiate payment arrangements and provide clear explanations of account status and billing information to patients.
• Recommend accounts for write-off or agency assignment as necessary.
• Prepare and submit required documentation for adjustments, refunds, and charity applications.
• Maintain accurate patient records and ensure all transactions are logged properly.
• Participate in departmental seminars, team meetings, and performance improvement activities.
• Meet individual and departmental productivity and cash collection goals.
• Provide support to peers and contribute to a positive, team-oriented work environment.

Must-Have Qualifications:

• Experience: Prior experience reviewing and managing patient accounts and resolving discrepancies.
• Bilingual (English/Spanish): Required to effectively support a diverse patient population.
• Attention to Detail: Ability to spot and correct errors with accuracy and efficiency.
• Communication Skills: Strong written and verbal communication for handling inquiries and negotiating payment plans.
• Problem-Solving: Skilled in identifying and resolving billing and claim-related issues.
• Customer Service Oriented: Focused on delivering patient satisfaction while meeting resolution goals.
• Time Management: Ability to manage a high workload and maintain productivity metrics.
• Billing Knowledge: Familiar with insurance billing systems, guidelines, and payment procedures.
• Negotiation Skills: Capable of effectively negotiating payments and settlements.
• Documentation: Proficient in preparing accurate documentation, patient records, and adjustment forms.

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