||Patient Account Representative
||General Statement of Duties:
Acts as the primary contact for answering statement and billing inquires for the CORE Institute. Responsible for reducing the accounts receivable of patient balances by arranging payment on outstanding accounts.
1. Provides excellent customer service in alignment with our “World Class Service” expectations by promptly answering patient inquiries, going above and beyond with follow through actions and always maintaining a positive demeanor while interacting with customers,
both internal and external.
2. Assists patients and family members with billing and account questions including following up with insurance companies and internal departments as needed.
3. Works to resolve complaints at first contact wherever possible. Ensures all encounters are handled in a courteous, professional and confidential manner.
4. Proactively works outstanding patient balances by contacting patients to arrange payment on outstanding accounts. Ensures patient balances are resolved in a timely manner.
5. Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff.
6. Adheres to Business Office Patient Account Representative Occupancy rate standards for incoming patient phone calls.
7. Provides patients with estimated fee quotes and is able to explain insurance terms and regulations to assist patients in understanding their insurance benefits.
8. Verifies the accuracy and timeliness of patient demographics and billing activities and identifies problems and trends.
9. Communicates with insurance and collection agencies. Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement.
10. Establishes and maintains effective communication with clinics, co-workers and other departments as required.
11. Works to ensure that all assigned reports are worked accurately and in a timely manner.
12. Maintains account receivables, identifying potential problems through registration, charge corrections, duplicate accounts and refunds.
13. Provides feedback to management on issues that prevent timely reimbursement from payers due to contract, provider, and insurance company or system limitations.