Patient Accounts Representative

1 week ago

Clearwater Florida, United States CCS Full time

Overview:

Position Summary:
The primary duties involve addressing patient inquiries via telephone concerning billing matters. This role requires the completion of various departmental tasks that necessitate adaptability, meticulousness, and efficiency.

The successful candidate will report directly to the Vice President of Operations and Finance. The position allows for flexible location, with a requirement for frequent travel.

Responsibilities:
Handle incoming calls related to billing inquiries, providing explanations of insurance benefits, account balances, and performing account reviews, reconciliations, and adjustments.

Digitally archive all incoming correspondence into patient records.

Establish payment plans for patients.

Secure verbal authorizations for credit card transactions.

Complete liability waiver forms for managerial review and approval.

Focus on minimizing overdue accounts and maximizing patient collections.

Collaborate with Accounts Payable staff to acquire manufacturer invoices for the external Revenue Cycle Management group.

Assist in managing the automated patient billing system.

Support the processing of payments received from secondary insurers.

Maintain confidentiality at all times due to access to sensitive information.

Ensure consistent attendance and flexibility to meet departmental needs.

Adhere to all regulations, including Medicare, Medicaid, HIPAA, and Private Insurance guidelines.

Comply with all organizational policies, procedures, and standards.

Desired Outcomes:
Implement effective cost control measures.

Foster positive relationships with both internal and external customers.

Maintain open communication channels.

Organize and prioritize work effectively to ensure timely completion.

Meet all productivity benchmarks.

Exhibit teamwork and promote a collaborative environment.

Actively engage in Continuous Quality Improvement initiatives.

Represent the organization with professionalism at all times.

Qualifications:
A high school diploma or GED equivalent, along with one year of call center experience or a comparable combination of education and experience.

A minimum of one year of customer service or medical billing experience is required, preferably with a Durable Medical Equipment provider.

Proficiency in Microsoft Outlook, Word, Excel, PowerPoint, and general computer skills.

Familiarity with government and commercial insurance payers concerning claim documentation requirements.

Ability to comprehend Medical Records documents, including safety protocols, operational guidelines, and procedural manuals.

Capability to read and interpret Explanation of Benefits forms from payors.

This position may necessitate evening and weekend availability.

Strong attention to detail, multitasking abilities, and effective communication and organizational skills are essential.

Demonstrated accuracy in data entry and a keen eye for detail are required.

Values:
Certainty - The lives of those we serve depend on our execution capabilities. We commit to this every day.


Utilize appropriate methods and a flexible interpersonal style to cultivate a cohesive and collaborative team grounded in trust and transparency.

Deliver on commitments.


Compassion - We recognize the challenges faced by patients and their families, channeling this understanding into a relentless pursuit of customer satisfaction across all facets of our operations.


Ensure that patient needs drive business decisions, implementing service practices that align with both patient and organizational requirements.

Treat others as you wish to be treated.

Advancement - We continuously seek innovative ways to progress in all our endeavors.

Encourage creative approaches to address opportunities and facilitate change, driving cross-functional alignment to achieve objectives. Speak the truth.

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