Patient Account Representative

Job Title: Patient Account Representative         

Department: Patient Accounts             

Reports To: Patient Accounts Supervisor          

FLSA Status: Non-Exempt

The Organization:

Lowell Community Health Center (Lowell CHC) is a community-based health care organization. Our programs have been recognized as national models. With a career at Lowell Community Health Center, you will be joining a dynamic team of passionate and talented people.

SUMMARY:

Responsible for all aspects of billing Performs a variety of tasks related to the details of patient accounts receivable. Deals with questions and requests for detail information related to billings from patients, third party insurance carriers, guarantors, doctors lawyers and others, over the phone or by letter correspondence. Processes all bill for services rendered to patients.

Responsibilities: include the following as well as other duties and responsibilities that may be assigned:

• Accurately Reviewing claims for coding, process and manage in a timely manner
• Provide financial guidance to patients face to face or via phone regarding their accounts, including outstanding balances, payment plans, and available options, ensuring a clear understanding of their financial responsibility.
• Review patient accounts to identify delinquent and due accounts
• Coordinate with insurance companies to resolve payment problems and reimbursement issues.
• Insurance verification via phone and/or clearinghouse
• Collect and post patient and insurance payments
• Charge entry and payment processing
• Response to inquiries concerning account balance, third party payments, from patients, lawyers, and/or third party payers in a timely manner.
• Keeps up to date statuses and regulations that could affect the collection
• Effectively navigate insurance portal and EMR system
• Works with physicians or health care professional if patient information is unclear to accurately process a services rendered.
• Brings any unusual occurrence to the attention of the Director of Patient Accounts or Patient Accounts Senior Leader
• Perform any other duties as may be assigned
•         Ability to meet deadlines and work product.
•      Ability to perform assigned duties with minimal direction and supervision in a timely manner.  
•        Effective interaction with external and internal representatives impacting the medical billing and patient revenue activity. 
•     Must communicate clearly in consistent manner and work towards resolution of problems with immediate staff and other managers.
• Demonstrates good judgment in reasoning when investigating and solving problems. Respect the confidentiality of patient information in compliance with the HIPAA and other applicable regulations

Qualifications:

•             Highschool Diploma or equivalent
•         Billing and collections experience preferred
•         Medical billing certificate preferred
•         Epic or EHR preferred
•         Microsoft outlook and system required

Work Location:

On-site position (40 hour per week). The employee is expected to work from the office and collaborate closely with team members and leadership.  Daily interaction with patients, staff and supervisors will occur in person, as well as through phone and internal system as needed.

 Work Environment:

Frequent contact with patients, families, visitors, nurses and other department staff. Occasional requests to change work areas to cover another priority area to meet patient needs. Occasional stress and pressure caused by multiple simultaneous demands. May be exposed to various infectious diseases.  Universal precautions and techniques are included in orientation and the availability of protective wear is supported and encouraged when the employee is at risk for exposure.