Healthcare Billing Specialist
1 week ago
Position Title: Patient Account Representative
Role Summary
Under the guidance of the Patient Accounting Supervisor, the Patient Account Representative is responsible for providing comprehensive support to the Central Business Office. This role encompasses full patient account management, from the entry of payments and adjustments to addressing billing inquiries, both in person and over the phone.
To excel in this position, candidates should possess a keen attention to detail and a solid understanding of medical terminology and billing processes. An exemplary Patient Account Representative will showcase outstanding communication and customer service abilities.
Key Responsibilities
The following duties are representative of the responsibilities that may be assigned to this role. Union General Hospital is a dynamic organization, and the work environment may evolve. Employees may be required to undertake tasks outside of those specifically listed, provided that the primary responsibilities align with the role's description.
- Patient Account Management
- Investigate and resolve patient account discrepancies.
- Audit patient accounts to correct any inconsistencies.
- Assess accounts of bankrupt or deceased patients.
- Identify and rectify posting mistakes.
- Record patient and insurance payments and adjustments.
- Update patient demographic, financial, and payer details.
- Handle incoming phone inquiries.
- Analyze credit balances on accounts.
- Process refunds for patients.
- Manage both incoming and outgoing correspondence.
- File claims related to deceased patients' estates and manage bankruptcy and charity adjustments as necessary.
- Customer Service Excellence
- Engage with customers in a professional manner, responding promptly to service requests and fulfilling commitments.
- Address billing inquiries from patients, both in person and via phone.
- Clarify account transactions, including insurance benefits, adjustments, and patient cost-sharing/deductibles.
- Collect and post payments from patients.
- Establish payment plans for patients.
- Assist CBO vendors with account-related questions or issues regarding payments, rejections, adjustments, collections, or financial status.
- Support the preparation of files for external vendors engaged in recovering accounts receivable funds, including aiding Collection Agency inquiries.
- Act as a liaison for early out/collection vendors to resolve patient account issues.
Qualifications
Education
- A High School Diploma or GED is required.
- Some college coursework is preferred.
Experience
- A minimum of one year of experience in Healthcare Billing or Accounts Receivable is required.
- Familiarity with Federal and State regulations, commercial insurance billing requirements, payer contract language, and healthcare terminology is essential.
Skills and Abilities
- Comprehensive knowledge of the healthcare industry and experience with healthcare technology.
- Proficient in Microsoft Office applications.
- Ability to effectively engage with patients, clients, colleagues, and external stakeholders.
- Capacity to thrive in a fast-paced environment, managing multiple tasks and priorities, while seeking supervisory support when necessary.
- Self-sufficient and reliable in both work output and attendance.
- Ability to prioritize and execute tasks efficiently under pressure, making informed decisions within the scope of the role.
- Excellent written and verbal communication skills for clear documentation and effective interaction.
- Strong emotional intelligence, interpersonal skills, and teamwork capabilities.
- Ability to exercise discretion, sensitivity, and maintain confidentiality.
- Demonstrated leadership abilities and capacity to foster cooperation among diverse individuals.
- Exceptional organizational, problem-solving, and time management skills with a focus on detail.
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