Patient Account Representative (66855)

Department: Billing

Position:  Patient Account Representative

Employee Category:  Non-Exempt

Reporting Relationship:  Manager of Revenue Cycle Management

Character First Qualities:

• Decisiveness- The ability to recognize key factors and finalize difficult decisions.
• Dependability- Fulfilling what I consented to do, even if it means unexpected sacrifice.
• Flexibility- Willingness to change plans or ideas without getting upset.
• Patience- Accepting a difficult situation without giving a deadline to remove it.
• Tolerance- Accepting others at different levels of maturity.

Summary of Duties and Responsibilities:

Under supervision, the Patient Account Representative is responsible for support and assistance to the patient in understanding their co-payments, explanation of benefits (EOBs), patient account statements and required documents for sliding fee scale eligibility. The Patient Assistance Coordinator will coordinate with Billers to collect outstanding balances or bad debt from patients and/or create payment arrangements. The Patient Account Representative will float to various Variety Care sites as directed.

Primary Duties and Responsibilities: 

1. Reviews Provider schedules for accounts with outstanding balances or bad debt prior to the patient’s appointment.
2. Collects Payments for CoPay and Deductibles
3. Assists patients with questions concerning their account balances, EOBs, co-payments, deductibles, co-insurance and payment plans by explaining details in a manner that the patient can understand.
4. Coordinates with Billers when adjustments or reversals of adjustments are needed, as well as corrections to payments.
5. Prints patient statements as requested.
6. Assists patients with payment options and establishes payment plans.
7. Collects patient balances and bad debt. Posts patient’s payments to accounts correctly by accepting cash, check, or performing credit card transactions.
8. Answers e-mail and phone calls from Billers and patients concerning patient account details.
9. Assists patients in completing financial assistance applications for other services offered by Variety Care vendors or partner agencies.
10. Performs eligibility check for patient participation in the voucher program. Assists in completing and submitting vouchers as required.
11. Coordinates and obtains patient referrals for clinical procedures.
12. Assists patients with contracts and payments for clinical procedures.
13. Performs special projects as requested and meets all deadlines as directed.
14. Travels to various Variety Care locations/sites and works at different locations as directed.
15. Supports Variety Care’s accreditation as a Patient-Centered Medical Home and our commitment to provide care to all Variety patients that is Safe, Effective, Patient-Centered, Timely, Efficient, and Equitable.  Provide leadership and work with all staff to achieve the goals of the “Triple Aim” of healthcare reform—to improve the experience of care, improve health outcomes, and decrease healthcare costs.
16. Embodies the strength of personal character.  Places v