About the role
The Patient Account Representative is a valued member of the Nox Health team and contributes to achieving departmental and organizational goals through collaboration, accountability, and a commitment to excellence. This role partners across the organization to deliver impactful work while embracing innovation, continuous improvement, and a people-first approach.
We are looking for a Patient Account Representative to join our SleepCharge RCM team. The Patient Account Representative is responsible for a number of patient account functions to ensure all participant claims are processed timely and accurately according to client-specific statement of work (SOW) and/or insurance carrier specifications. Participant accounting functions include: eligibility, verification of benefits, billing, collections, customer service, cash applications, documentation of participant activity, invoicing and oversight of renewal process.
What you'll do
- Responsible for all VOBs and documentation in the patient record
- Communicate internally and externally and respond to inquiries regarding patient eligibility, insurance, balances and CoPays
- Calculate, collect and reconcile patient financial responsibilities
- Prepare and send patient statements monthly
- Manage the annual renewal process for patients which includes: - Determine patient eligibility & update renewal eligibility/billing files - Complete VOB and document on patient record
- Obtain updated insurance information as needed
- Prepare and mail invoices monthly
- Coordinate with CareTeam as needed for patient retention & send letters regarding eligibility
- Prepare and send patient receipts
- Gather patient data for insurance claims billing & update patient subledger & claims billing systems
- Maintain & reconcile patient subledger, account balances & payment posting records
- Update patient record for past due patient balances and communicate balances internally
- Reconcile active patients monthly and ensure patients are renewed or terminated timely
- Assist with filing and reconciliation of insurance claims
- Assist with general accounting responsibilities, as needed, including, but not limited to: mail processing and deposits
- Other duties as may be assigned
Qualifications
- High school diploma
- Two (2) years experience of medical insurance patient billing/collections OR Two (2) years of customer service experience
- Basic Microsoft Excel
- Strong oral and written communication skills
- Ability to learn a variety of technology platforms, including Google Drive and in-house medical charting system
- Excellent problem-solving ability
- Ability to adapt proficiently to workflow changes necessary for process improvement
- Attention to detail and organizational skills
- Ability to speak effectively and professionally on the telephone, with client contacts and participants, and with fellow employees of the organization.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
- Ability to accurately document notes, write routine reports and correspondence.