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Title
Text copied to clipboard!Patient Account Representative
Description
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We are looking for a dedicated and detail-oriented Patient Account Representative to join our healthcare team. The ideal candidate will be responsible for managing patient accounts, ensuring accurate billing, and facilitating collections. This role requires excellent communication skills, a strong understanding of medical billing procedures, and the ability to work efficiently in a fast-paced environment. The Patient Account Representative will interact with patients, insurance companies, and healthcare providers to resolve billing issues and ensure timely payments. This position is crucial for maintaining the financial health of our organization and providing exceptional service to our patients. The successful candidate will have a background in healthcare administration, experience with medical billing software, and a commitment to accuracy and customer service. Key responsibilities include verifying insurance coverage, processing claims, handling patient inquiries, and maintaining detailed records. The role also involves collaborating with other departments to streamline billing processes and improve overall efficiency. If you are a proactive problem-solver with a passion for healthcare and finance, we encourage you to apply for this rewarding opportunity.
Responsibilities
Text copied to clipboard!- Manage patient accounts and ensure accurate billing.
- Verify insurance coverage and benefits.
- Process and submit insurance claims.
- Handle patient inquiries and resolve billing issues.
- Maintain detailed and accurate records of patient accounts.
- Collaborate with healthcare providers to ensure accurate billing information.
- Follow up on unpaid claims and overdue accounts.
- Negotiate payment plans with patients.
- Ensure compliance with healthcare regulations and billing standards.
- Assist with month-end closing and financial reporting.
- Provide exceptional customer service to patients and their families.
- Work with insurance companies to resolve claim denials.
- Update patient information in the billing system.
- Prepare and send out patient statements.
- Assist in the development and implementation of billing policies and procedures.
- Participate in training and professional development opportunities.
- Monitor and report on billing and collection metrics.
- Identify and address billing discrepancies.
- Support other administrative tasks as needed.
Requirements
Text copied to clipboard!- High school diploma or equivalent; associate's or bachelor's degree preferred.
- Minimum of 2 years of experience in medical billing or healthcare administration.
- Strong understanding of medical billing procedures and insurance processes.
- Proficiency with medical billing software and electronic health records (EHR) systems.
- Excellent communication and interpersonal skills.
- Attention to detail and strong organizational skills.
- Ability to work independently and as part of a team.
- Proactive problem-solving skills.
- Knowledge of healthcare regulations and compliance standards.
- Ability to handle sensitive and confidential information.
- Strong customer service orientation.
- Ability to manage multiple tasks and prioritize effectively.
- Experience with accounts receivable and collections.
- Familiarity with coding systems such as ICD-10 and CPT.
- Basic understanding of accounting principles.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Ability to work in a fast-paced environment.
- Strong analytical and critical thinking skills.
- Commitment to continuous learning and professional development.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical billing and coding?
- How do you handle difficult conversations with patients regarding their bills?
- What strategies do you use to ensure accurate and timely billing?
- How do you stay updated on changes in healthcare regulations and billing standards?
- Can you provide an example of a time you resolved a complex billing issue?
- How do you prioritize your tasks when managing multiple patient accounts?
- What experience do you have with insurance claim denials and appeals?
- How do you ensure compliance with HIPAA and other healthcare regulations?
- Can you describe a time when you had to negotiate a payment plan with a patient?
- What software and tools are you proficient in for medical billing?
- How do you handle stress and maintain accuracy in a fast-paced environment?
- What steps do you take to verify insurance coverage and benefits?
- How do you ensure clear and effective communication with patients and healthcare providers?
- Can you describe your experience with accounts receivable and collections?
- What do you believe are the most important qualities for a Patient Account Representative?
