patient account representatitve: business service-managed care

2 weeks ago

Costa Mesa, California, United States Hoag Health System Full time

Primary Duties and Responsibilities

The Patient Account Representative is a vital part of Hoag's revenue cycle team, acting as the primary point of contact for patients and their families regarding medical billing inquiries. In a fast-paced call center environment, this role delivers exceptional customer service, resolving patient account issues with empathy, accuracy, and professionalism, including the ability to de-escalate concerns through active listening and collaborative problem-solving.

  • Handle a high volume of inbound calls to support patients with billing-related questions and account resolution.
  • Assist patients with setting up payment plans, understanding balances, making payments, and applying for financial assistance.
  • Manage patient inquiries across an omnichannel environment, encompassing phone, in-person interactions, email, postal mail, faxes, and electronic work queues.
  • Update insurance and demographic information in the billing system to ensure account accuracy.
  • Generate and mail requested documentation, including itemized bills, receipts, and financial correspondence.
  • Document all actions and interactions clearly and accurately in the appropriate systems.
  • Collaborate with departments across the organization to resolve patient account issues.
  • Attain and sustain established performance metrics, including productivity, call handling, and quality assurance standards.
  • Maintain confidentiality and comply with all hospital, state, and federal regulations including HIPAA.

Education and Experience

Required:

  • High school diploma or equivalent.
  • One year of hospital/medical and/or related field or high-volume call center setting, demonstrating strong customer service skills.

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