Patient Account Representative

QUALIFICATIONS

• Requires a minimum of two to three years of experience in billing or collections in a physician clinic or hospital environment.
• Knowledge of medical billing and collection policies and procedures, ICD, and CPT coding.
• Advanced computer knowledge, including Windows-based programs.
• Knowledge of legal and regulatory government provisions.
• High school diploma/GED or equivalent working knowledge preferred.

ESSENTIAL FUNCTIONS

• Assists patients and family members with billing and account questions including following up with insurance companies and internal departments as needed.
• Works to resolve complaints at first contact wherever possible. Ensures all encounters are handled in a courteous, professional, and confidential manner.
• Proactively works outstanding patient balances by contacting patients to arrange payment on outstanding accounts. Ensures patient balances are resolved promptly.
• Adheres to Business Office Patient Account Representative Occupancy rate standards for incoming patient phone calls.
• Provides patients with estimated fee quotes and can explain insurance terms and regulations to assist patients in understanding their insurance benefits.

The Patient Account Representative is responsible for answering statements and billing inquires. Responsible for reducing the accounts receivable of patient balances by arranging payments on outstanding accounts.

Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks.

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