Patient Account Representative

4 months ago

Jacksonville, United States Center for Orthopedic and Research Excel Full time
Job DescriptionJob Description

PATIENT ACCOUNT REPRESENTATIVE

CENTRAL BUSINESS OFFICE | NON-CLINICAL | FULL-TIME | JACKSONVILLE, FL | $15-$17/HOUR

Established in 2001, Southeast Orthopedic Specialists is a regional leader in musculoskeletal medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. Our mission is to make industry-leading five-star orthopedic care accessible to as many people as possible.

At Southeast Orthopedic Specialists, we are dedicated to taking care of you so you can take care of business Our robust BENEFITS includes the following:

  • Competitive Health & Supplemental Benefits
  • Monthly $43 stipend to use toward ancillary benefits
  • HSA with qualifying HDHP plans with company match
  • 401k plan with company match
  • Employee Assistance Program available 24/7
  • Employee Appreciation Days/Events
  • Paid Holidays & Paid Time Off

As Southeast Orthopedic Specialists continues to grow, we are hiring a Full-Time Patient Account Representative at our Central Business Office Please see below for the functions and requirements needed to be considered for this position:

GENERAL SUMMARY

Acts as the primary contact for answering statement and billing inquiries for HOPCo. Responsible for reducing the accounts receivable of patient balances by arranging payment on outstanding accounts.

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ESSENTIAL FUNCTIONS

  • Provides excellent customer service in alignment with our “World Class Service” expectations by promptly answering patient inquiries, going above and beyond with follow-through actions and always maintaining a positive demeanor while interacting with customers, both internal and external.
  • Assists patients and family members with billing and account questions, following up with insurance companies and internal departments as needed.
  • Works to resolve complaints at first contact wherever possible. Ensures all encounters are handled in a courteous, professional, and confidential manner.
  • Proactively works outstanding patient balances by contacting patients to arrange payment on outstanding accounts. Ensures patient balances are resolved promptly.
  • Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
  • Adheres to Business Office Patient Account Representative Occupancy rate standards for incoming phone calls.
  • Provides patients with estimated fee quotes and can explain insurance terms and regulations to assist patients in understanding their insurance benefits.
  • Verifies the accuracy and timeliness of patient demographics and billing activities and identifies problems and trends.
  • Communicates with insurance and collection agencies. Completes daily requests and works through obstacles on account balance to ensure maximum reimbursement.
  • Establishes and maintains effective communication with clinics, co-workers, and other departments as required.
  • Works to ensure that all assigned reports are worked accurately and promptly.
  • Maintains account receivables, identifying potential problems through registration, charge corrections, duplicate accounts, and refunds.
  • Provides feedback to management on issues that prevent timely reimbursement from payers due to contract, provider, and insurance company or system limitations.

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EDUCATION

  • High school diploma/GED or equivalent working knowledge required.

EXPERIENCE

  • Requires a minimum of two to three years experience in billing or collections in a physician clinic or hospital environment.

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KNOWLEDGE

  • Knowledge of medical billing and collection policies and procedures, ICD, and CPT coding.
  • Advanced computer knowledge, including Windows-based programs.
  • Knowledge of legal and regulatory government provisions.

SKILLS

  • Establishing and maintaining effective internal and external working relationships.
  • Defusing difficult situations and able to be consistently pleasant and helpful.
  • Resolving billing and payment issues.

ABILITIES

  • Multi-task in a fast-paced environment. Must be detail-oriented with strong organizational skills.
  • Interact professionally with patients, providers, and the public.
  • Read and communicate clearly and effectively in English. Bilingual is a plus.

___________________________________________________________________________________________________________________________________

ENVIRONMENTAL WORKING CONDITIONS

  • Normal office environment.

PHYSICAL/MENTAL DEMANDS

  • Requires sitting and standing associated with a normal office environment.
  • Some bending and stretching are required.
  • Manual dexterity using a calculator and computer keyboard.

** This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve. **

QUESTIONS?

Contact HR@se-ortho.com

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