Patient Accounts Representative

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Center for Healthy Aging

WebsiteLinkedInAll Job Openings

11 - 50 employees

📚 Education

⚕️ Healthcare Insurance

🧘 Wellness

Education • Healthcare Insurance • Wellness

Center for Healthy Aging is an organization dedicated to promoting lifelong health and well-being among older adults through research, education, and community outreach. It provides resources and programs aimed at enhancing the knowledge of cognitive health, supporting well-being, and fostering partnerships within the community. The center focuses on intergenerational learning and offers various initiatives, including lectures, volunteer opportunities, and access to a curated online health library.

📋 Description

• Serve as the primary resource for patients by professionally and empathetically responding to inquiries related to billing, insurance processing, balances, account status, payment plans, and financial concerns. • Counsel patients regarding insurance coverage, Explanation of Benefits (EOBs), payer processing timelines, denials, adjustments, payment expectations, financial options, and available payment arrangements. • Research and resolve patient account inquiries by reviewing charges, payments, insurance activity, denials, eligibility, and account balances while utilizing payer portals, online resources, and direct communication with patients and third-party payors to support timely account resolution. • Update and maintain accurate patient demographic, insurance, eligibility, and plan information within electronic health record (EHR) and revenue cycle systems to support accurate registration, billing, clean claim processing, and resolution of payor-related issues and trends. • Review insurance eligibility, payer requirements, benefits, and financial clearance requirements to support timely and accurate financial management activities in accordance with organizational policies and standard work guidelines. • Create accurate cost-of-care estimates and communicate anticipated patient financial responsibility, including deductibles, co-payments, coinsurance, self-pay balances, and other out-of-pocket obligations. • Collaborate with insurance, billing, coding, financial clearance, medical records, and operational teams to support timely account resolution, accurate reimbursement, effective communication of financial clearance decisions, identification of billing or coding discrepancies, and clean claim processing. • Conduct outbound follow-up with patients and third-party payors regarding outstanding balances, missing information, payment arrangements, collection activities, and unresolved account issues while escalating payment delays and aging trend concerns as appropriate. • Calculate, collect, and process patient self-pay liabilities and outstanding balances using approved secure payment methods and establish payment arrangements in accordance with organizational guidelines. • Document all patient interactions, account research, financial discussions, dispute activity, actions taken, findings, and resolutions thoroughly and accurately within designated systems to support account follow-up, audit readiness, and operational communication. • Efficiently manage high-volume workflows, competing priorities, and interruptions while maintaining quality, accuracy, and productivity standards. • Ensure compliance with HIPAA, State and Federal regulations, payer guidelines, organizational policies, quality standards, productivity expectations, and established standard work processes.

🎯 Requirements

• High School Diploma or GED required • 2 years of medical office or customer service practical knowledge • Call Center experience preferred • Knowledge of Epic EHR preferred • Excellent computer/10 key skills with ability to type at least 40wpm • Knowledge of Microsoft Office Suite, with comfort in Excel and Word usage • Excellent interpersonal communication and customer service skills

🏖️ Benefits

• Healthcare Options : PPO, HDHP, and Surest plans with a $100/month tobacco-free discount • Dental & Vision Insurance • 401(k) with Annual Employer Contributions • Additional Coverage : HSA/FSA, short- and long-term disability, life and AD&D, legal assistance, and more • Employee Assistance Program (EAP) : Employer-paid support for life’s challenges • Generous Paid Time Off : Up to 4 weeks of PTO starting out. (Increases with tenure) 7 paid holidays + 2 floating holidays