What are the responsibilities and job description for the Patient Account Representative position at Nox Health?
About Us
Simply put, we believe in the power of sleep.
As sleep health champions, we want more and more people to wake up to a brighter day every day. And, we are making daily progress, as we help more organizations see sleep as transformational and a foundational pillar of health. We strive to give more access to the technology and care they need to lead fuller lives.
Our depth of knowledge in the science of sleep gives us a unique perspective on sleep as a critical intervention strategy in chronic disease. We help people see the right problem and the right way forward, elevating not just our solutions but also advancing the field of sleep medicine.
Our vision is to work with our partners — employers, health systems, health plans, government agencies, provider groups and others committed to transforming care — to expand sleep health care to where it is needed, so it can take its rightful place in the healthcare ecosystem.
About The Role
At Nox Health, our passion is delivering life-changing sleep health services across large employee populations. With a physician-led team of professional care managers and healthcare providers, our innovative technology platform enables SleepCharge to surpass existing models of care and deliver exceptional patient outcomes.
We are looking for a Patient Account Representative to join our SleepCharge RCM team. The Patient Account Representative is responsible for a number of patient account functions to ensure all participant claims are processed timely and accurately according to client-specific statement of work (SOW) and/or insurance carrier specifications. Participant accounting functions include: eligibility, verification of benefits, billing, collections, customer service, cash applications, documentation of participant activity, invoicing and oversight of renewal process.
What You'll Do
Simply put, we believe in the power of sleep.
As sleep health champions, we want more and more people to wake up to a brighter day every day. And, we are making daily progress, as we help more organizations see sleep as transformational and a foundational pillar of health. We strive to give more access to the technology and care they need to lead fuller lives.
Our depth of knowledge in the science of sleep gives us a unique perspective on sleep as a critical intervention strategy in chronic disease. We help people see the right problem and the right way forward, elevating not just our solutions but also advancing the field of sleep medicine.
Our vision is to work with our partners — employers, health systems, health plans, government agencies, provider groups and others committed to transforming care — to expand sleep health care to where it is needed, so it can take its rightful place in the healthcare ecosystem.
About The Role
At Nox Health, our passion is delivering life-changing sleep health services across large employee populations. With a physician-led team of professional care managers and healthcare providers, our innovative technology platform enables SleepCharge to surpass existing models of care and deliver exceptional patient outcomes.
We are looking for a Patient Account Representative to join our SleepCharge RCM team. The Patient Account Representative is responsible for a number of patient account functions to ensure all participant claims are processed timely and accurately according to client-specific statement of work (SOW) and/or insurance carrier specifications. Participant accounting functions include: eligibility, verification of benefits, billing, collections, customer service, cash applications, documentation of participant activity, invoicing and oversight of renewal process.
What You'll Do
- Responsible for all VOBs and documentation in the patient record
- Communicate internally and externally and respond to inquiries regarding patient eligibility, insurance, balances and CoPays
- Calculate, collect and reconcile patient financial responsibilities
- Prepare and send patient statements monthly
- Manage the annual renewal process for patients which includes: - Determine patient eligibility & update renewal eligibility/billing files - Complete VOB and document on patient record
- Obtain updated insurance information as needed
- Prepare and mail invoices monthly
- Coordinate with CareTeam as needed for patient retention & send letters regarding eligibility
- Prepare and send patient receipts
- Gather patient data for insurance claims billing & update patient subledger & claims billing systems
- Maintain & reconcile patient subledger, account balances & payment posting records
- Update patient record for past due patient balances and communicate balances internally
- Reconcile active patients monthly and ensure patients are renewed or terminated timely
- Assist with filing and reconciliation of insurance claims
- Assist with general accounting responsibilities, as needed, including, but not limited to: mail processing and deposits
- Other duties as may be assigned
- High school diploma
- Two (2) years experience of medical insurance patient billing/collections OR Two (2) years of customer service experience
- Basic Microsoft Excel
- Strong oral and written communication skills
- Ability to learn a variety of technology platforms, including Google Drive and in-house medical charting system
- Excellent problem-solving ability
- Ability to adapt proficiently to workflow changes necessary for process improvement
- Attention to detail and organizational skills
- Ability to speak effectively and professionally on the telephone, with client contacts and participants, and with fellow employees of the organization.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
- Ability to accurately document notes, write routine reports and correspondence.