Employment Spot

Job Description

 Patient Account Representative

(MON-FRI 10:30AM TO 7:00PM)

 We need a Patient Account Rep. to troubleshoot case issues and manage resolution to completion. Act as a patient advocate by providing information and education on health insurance benefits, insurance billing, and the reimbursement process to our customers.  

Responsibilities:

*Answer incoming telephone and e-mail inquiries.

*Complete Case Manager Worklist tasks assigned.

*Review case history and insurance notes to provide information and / or determine next steps needed on the case.

*Call insurance companies and or Physicians to obtain information or provide information needed to resolve case issues.

*Follow-up on open inquiries and unresolved case issues.

*Communicate the results of a benefit investigation to patients and physicians as needed.

*Pre-qualify patients for the financial assistance program and explain payment options when needed.

*Initiate appeals or patient billing process when needed.

*Report all insurance company trend changes to the Reimbursement Manager and Account Executive.

*Participate in team meetings by sharing the details of cases worked.

Job Requirements

Education/Experience:

*High school diploma or GED

*Minimum of four years health insurance billing experience

*Knowledge of managed care industry including payer structures, administrative rules, and government payers.

*Proficient in all aspects of reimbursement

*Excellent Customer Service Skills

*Ability to listen and work well with others

*Detail oriented

*Possess excellent written and verbal communication skills

*Proficient in using Microsoft Word and Excel

We offer a competitive salary, group insurance benefits, 401(k) plan, paid time-off and a pleasant work atmosphere.  Send resume with salary history/requirements to [Click Here to Email Your Resumé]  or fax to 440-528-6008.  EOE