Patient Accounts Representative

🔥 1 hour ago

🌺 Hawaii – Remote

🌺 Hawaii – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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nimble solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

📦 Logistics

🛡️ Insurance

Consulting • Logistics • Insurance

nimble solutions is a company focused on innovative online solutions, offering services related to payment processing, account management, and invoicing. It leverages web-based technologies to provide efficient and user-friendly platforms for managing financial transactions and accounts. The company aims to simplify complex billing and payment processes for businesses.

📋 Description

• Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data • Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility • Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data • Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs • Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate • Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail • When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations • Obtain patient payment information over the phone, process the payment and appropriately note the account • Escalate issues effectively to a supervisor or management for assistance • Responsible for ensuring all client specific protocols are followed during the patient billing cycles • Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter

🎯 Requirements

• High School Diploma or equivalent • Exceptional customer service skill set • Mandatory compliance with strict patient confidentiality policies • Detail oriented • Basic computer knowledge, with Excel experience • Strong organizational & time management skills • Good written and oral communication skills

🏖️ Benefits

• Medical • Dental • Vision • 3 Weeks PTO + 9 Company Paid Holidays (includes day after Thanksgiving and Christmas Eve) • 401K Match