Patient Account Representative



Sales & Business Development
Pullman, WA, USA
Posted on Friday, June 28, 2024
Location: Palouse Medical
Position: Patient Account Representative
Job Summary: The Patient Account Representative is responsible for entering new insurance information, reviewing overdue accounts, addressing payment issues and payment plans with patients/guarantors in a proactive professional manner in order to avoid collections.

Essential Duties:

  • Handles all incoming calls to the billing office
  • Run eligibility verification daily on next day’s schedule
  • Review, update, and notate accounts with changes resulting from eligibility verification
  • Reviews a report of 90 day overdue accounts on a daily basis and contacts patients regarding payments.
  • Reviews patient co-payments with account balances to determine overpayments.
  • Approves appointments for patients whose accounts have a status of collections.
  • Reviews appointments for patients whose accounts have been turned to an outside collection agency. This may include contacting the collection agency.
  • Meets with or takes patient phone calls regarding complaints and billing errors and corrects such errors by making insurance corrections and re-billing the insurance company and/or patient.
  • Reviews collection report monthly and sends applicable accounts to an outside collection agency (AAI).
  • On a weekly basis run finance services fees for all outstanding accounts over 90 days.
  • On a weekly basis run statement report and send out all statements for accounts with balances over $3.00
  • Biweekly run past due messaging report and upload report to the POS website.
  • On a weekly basis run bad address report from POS and update all applicable accounts
  • Post all patient payments, checks, cash and visas
  • Research no show letters daily and apply fee to patient accounts.
  • Document patient waivers on account daily.
  • Review all returned mail, research, and contact patients for updated address information

Additional Duties:

  • Makes calls to insurance companies regarding benefit and claim questions.
  • Assists in coverage of other billing office employees for PTO.
  • Any other duties or responsibilities as needed or assigned. Educational Requirements
  • Minimum requirement is a high school diploma or GED.

Work Experience Requirements:

  • Previous medical office experience preferred.
  • Previous experience with medical patient management software preferred.

Skill Requirements:

  • Must have good 10-key skills.
  • Must have good organization skills.
  • Must be able to prioritize the daily workload.
  • Must have good communication skills.
  • Must have good phone skills.
  • Must work well under stress.
  • Must have good computer skills and general knowledge of software programs used in a medical setting.
  • Must have the ability to work professionally with patients, providers, insurance companies and co-workers.
  • Must have general knowledge of office equipment such as a copier, postage machine, fax machine.

Physical Requirements:

  • Must be able to sit in a chair for 8 hours per day.
  • Must use proper body mechanics when using a keyboard, lifting and retrieving supplies, charts and equipment.