Patient Accounts Representative

Responsible for the collection, resolution, and customer service activities related to Accounts Receivable (AR) and Bad Debt (BD) balances due from the patients or responsible guarantors. Coordinates viable means of account resolution by: setting appropriate payment plans, handling insurance disputes, processing charity, secondary placement or write off if applicable.

• Functions in high -volume phone processing both incoming and outgoing calls for the purpose of collecting patient balances.
• Understands through training or prior experience, how to resolve healthcare balances.
• Understands managed care/government coverage payment methodologies and can fully analyze account information necessary to effectively work accounts.
• Recommends adjustments or closure of accounts when appropriate.
• Provides excellent customer service to all patients.
• Follows department policies, procedures, and guidelines regarding processing of all accounts. Attempts to resolve the account in one call with the patient or guarantor as opposed to transferring the call or having to return calls.
• Uses technology to accomplish key business functions to include accessing insurance databases for coverage, skip tracing, and check drafts and/or credit card processing.
• May perform other duties as assigned or requested

Regulatory Requirements:

• High School diploma or GED required.
• Prefer third part debt collection experience and knowledge of managed care/governmental medical billing.