Patient Account Representative
Apply NowLocation:
Remote
Company:
Vital Connect Inc specializes in healthcare billing and revenue cycle management solutions for patients and providers.
Summary:
The Patient Account Representative will handle billing inquiries, process payments, and resolve billing issues while educating patients on their financial responsibilities. Applicants need a high school diploma or GED, at least three years of customer service experience in healthcare, and proficiency in medical billing software and insurance claims processes.
Requirements:
Hard Skills: medical billing software proficiency, insurance claims processes, Microsoft Office, payment handling
Credentials: high school diploma or GED
Experience: Minimum of 3 years of experience in a customer service capacity, preferably in a healthcare related role; remote work experience preferred.
Job Description:
Job Summary
The Patient Account Representative is responsible for providing excellent service to patients by handling billing inquiries, processing payments, and resolving billing issues to completing the financial clearance process. The PAR must be able to articulate information in a manner that patients, guarantors and/or family members comprehend so they understand their financial responsibilities. The PAR provides targeted, personalized service and engages, consults and educates patients based upon their unique needs. The PAR is responsible for initial phone contact with patients, clients and insurance companies to answer billing questions and receive payment for services. Refer to Revenue Cycle management for complex inquiries for research and resolution.
Key Responsibilities
- Respond to patient inquiries regarding billing statements, account balances, insurance claims, and payment options via phone.
- Process patient payments, including credit card transactions, online payments, setting up payment plans, and processing financial assistance applications as appropriate.
- Explain billing processes, insurance coverages, and payment options to patients in a clear, empathetic, and professional manner.
- Research/Review Explanation of Benefits (EOB’s) that reflect payment or denial of patient medical claims in order to respond to patient inquiries.
- Accurately and concisely document patient’s account with proper feedback, call summary and any resolution provided during each call.
- Process credit card transaction with patients over the phone and correctly apply proper payment.
- Work patient correspondence with regards to address corrections, bankruptcy documents, returned mail, etc.
- Liaison with the collection department to ensure proper balances, payments or adjustments are communicated on individual patient accounts as they arise.
- Familiarity with negotiated contracts and applicable fee schedules.
- Maintain or exceed department goals related to abandon rate, call volume, answer call rate, etc.
- Assist with other related revenue cycle tasks as needed, such as contacting payment plan and patient paid direct, and self-pay patients for payment, emailing Financial Assistance Applications, etc.