Patient Account Rep III – Snug Harbor

Manet Community Health Center, Inc.; Quincy (MA); On-site; USD 52,000 - 70,000; Full time

Job summary

Manet Community Health Center, Inc. is seeking a Patient Account Representative III to manage aged accounts receivable and engage with multiple insurance payers to resolve unpaid balances. This role requires familiarity with government and payer guidelines and strong communication with insurers and internal teams.

The position emphasizes accuracy, confidentiality, and problem solving in a fast-paced healthcare billing environment. Evening or weekend shifts may be required per department needs.

Qualifications

• High School Diploma or equivalent.
• Basic working knowledge of computers and office procedures.
• Must have strong customer/communication skills.
• Medical Coding and/or billing experience a must
• Must be able to read and write English.
• At least two years of experience as a Patient Account Representative in a healthcare setting.

Responsibilities

• Responsible for aged accounts receivables. Inquire to PMS and insurance companies and establishing contacts regarding the status of unpaid balances. Identify and apply problem-solving techniques, i.e., (appeals, etc.).
• Maintains familiarity with billing information and procedural requirements of government and insurance payers as well as discount programs Manet CHC offers. Maintains knowledge of guidelines of our billing procedures and requirements;
• Participates in meetings, training and other internal and external review and audit activities as requested by immediate supervisor and through management guidance;
• Under direction of the Patient Accounts Supervisor, provides back-up for all functions in the billing department, including support to the Patient Account Supervisor in training of new staff as required;
• Demonstrates commitment to performance improvement and identifies problems and recommends changes as needed;
• Responsible for the accounts receivable. Monitor and follow-up with sources of problems and take the corrective actions needed, which include denial management;
• Demonstrates respect for confidentiality in processing information related to patient accounts and insurance information; and
• Performs other related duties as required or assigned.

Skills

Strong communication

Customer service

Attention to detail

Reading and writing English

Fast-paced environment

Education

High School Diploma or equivalent

Tools

PMS

Billing software

Microsoft Office

Job description

The Patient Account Representative III is responsible for maintaining multiple insurance companies with a complete understanding of insurance companies’ guidelines and requirements. The Patient Account Representative III must have strong communication skills to contact insurance companies for claims statuses.

Core Responsibilities

• Responsible for aged accounts receivables. Inquire to PMS and insurance companies and establishing contacts regarding the status of unpaid balances. Identify and apply problem-solving techniques, i.e., (appeals, etc.);
• Maintains familiarity with billing information and procedural requirements of government and insurance payers as well as discount programs Manet CHC offers. Maintains knowledge of guidelines of our billing procedures and requirements;
• Participates in meetings, training and other internal and external review and audit activities as requested by immediate supervisor and through management guidance;
• Under direction of the Patient Accounts Supervisor, provides back-up for all functions in the billing department, including support to the Patient Account Supervisor in training of new staff as required;
• Demonstrates commitment to performance improvement and identifies problems and recommends changes as needed;
• Responsible for the accounts receivable. Monitor and follow-up with sources of problems and take the corrective actions needed, which include denial management;
• Demonstrates respect for confidentiality in processing information related to patient accounts and insurance information; and
• Performs other related duties as required or assigned.

Minimum Skills, Experience and Educational Requirements

• High School Diploma or equivalent;
• Basic working knowledge of computers and office procedures.
• Must have strong customer/communication skills.
• Medical Coding and/or billing experience a must
• Must be able to read and write English.
• At least two years of experience as a Patient Account Representative in a healthcare setting;

Critical Demands of the Job

• Manage multiple requests and prioritize appropriately;
• Ability to function in a faced paced setting with a variety of patients and staff;
• Attention to details and prompt follow up;
• Includes walking and standing for long periods of time, sitting for short periods of time, hand dexterity, clear hearing and speaking ability. Must be able to lift a maximum of 1/3 of their body weight; and,
• Excellent organizational and interpersonal skills.

Working Conditions

• Works in well-lighted environment with comfortable surroundings.
• Stressful at times due to competing demands, including attention to multiple patients and staff.

Required Availability

• May be required to work evenings, holidays or weekends, if department requires