Patient Account Representative

Nox Health; Alpharetta (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

Nox Health is seeking a Patient Account Representative to join the SleepCharge RCM team in Alpharetta, GA. You will manage patient accounts, verify eligibility, bill, collect, and provide customer service while ensuring accuracy and compliance with client specifications.

You will collaborate with CareTeam and use various platforms including Excel and our charting system. This role emphasizes attention to detail, communication, and a proactive approach to renewal and invoicing tasks.

Qualifications

• High school diploma required.
• Two years' experience in medical insurance billing/collections or customer service.
• Proficiency with Excel and ability to learn new systems.
• Strong verbal and written communication skills.
• Ability to adapt to workflow changes and contribute to process improvement.

Responsibilities

• Handle patient account functions to ensure claims are processed timely and accurately.
• Communicate with internal and external contacts regarding eligibility, insurance, balances, and CoPays.
• Prepare and send patient statements monthly and assist with renewal processes.
• Aid with filing, reconciliations, and general accounting tasks as needed.
• Maintain accurate patient records and documentation in the charting system.

Skills

Communication skills

Problem solving

Attention to detail

Organizational skills

Phone etiquette

Adaptability

Learning new tech platforms

Education

High school diploma

Tools

Microsoft Excel

Google Drive

In-house medical charting system

Job description

Simply put, we believe in the power of sleep.

As sleep health champions, we want more and more people to wake up to a brighter day every day. And, we are making daily progress, as we help more organizations see sleep as transformational and a foundational pillar of health. We strive to give more access to the technology and care they need to lead fuller lives.

Our depth of knowledge in the science of sleep gives us a unique perspective on sleep as a critical intervention strategy in chronic disease. We help people see the right problem and the right way forward, elevating not just our solutions but also advancing the field of sleep medicine.

Our vision is to work with our partners — employers, health systems, health plans, government agencies, provider groups and others committed to transforming care — to expand sleep health care to where it is needed, so it can take its rightful place in the healthcare ecosystem.

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
• 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.