Patient Account Representative

Omega Healthcare Management Services Pvt. Ltd.; Boca Raton (FL); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

401(k) with company match

Paid time off

Holiday pay

Bonus programs/commissions

Job summary

Omega Healthcare Management Services is seeking a Patient Account Representative in Boca Raton, FL. The role focuses on explaining medical billing to patients, resolving inquiries, and ensuring timely collections while maintaining HIPAA compliance and high-quality service.

You will verify insurance data, update accounts, and collaborate with insurers and coding staff to address claim issues. Strong communication and multitasking abilities are essential.

Qualifications

• Experience in medical billing processes or healthcare reimbursement.
• Proficient computer skills and familiarity with EHR/billing systems.
• Excellent communication and customer service abilities.
• Ability to de-escalate situations and work in a team.
• Bi-lingual candidates preferred.

Responsibilities

• Handle inbound and outbound patient calls to discuss medical billing statements and insurance claims.
• Provide outstanding customer service by addressing inquiries, resolving discrepancies, and explaining benefits and claims status.
• Verify and update patient demographic and insurance information as needed.
• Document communications accurately in systems and maintain confidentiality per HIPAA.
• Assist patients with financial assistance applications and payment plans.
• Coordinate with insurance companies, coding specialists, and team to resolve denials.
• Educate patients on financial assistance options and resources.
• Attend virtual meetings and adhere to company policies and security guidelines.

Skills

Communication skills

Customer service

De-escalation skills

Bi-lingual

Education

High School Diploma or equivalent

Healthcare administration education is a plus

Tools

Epic

EHR/billing software

Job description

Summary/Objective Under supervision, the Patient Account Representative will be responsible for effectively communicating with patients to explain medical billing and insurance claims, resolve inquiries, and ensure timely payment collection.

Essential Job Functions

Handle inbound and outbound patient calls to address medical billing statements, insurance claims, payment collection, and related financial matters.

Provide outstanding customer service by addressing patient inquiries, resolving billing discrepancies, and answering questions regarding insurance benefits and claim status.

Verify patient demographic and insurance information, ensuring accuracy and making necessary updates as required.

Update patient accounts with relevant information obtained during phone conversations, including payment arrangements, financial assistance applications, or any other relevant documentation.

Work closely with insurance companies, coding specialists, and other team members to resolve any claim denials or issues impacting patient payments.

Assist patients in understanding and navigating the process for filing insurance claims and submitting necessary documentation.

Educate patients on financial assistance programs, payment plans, and available resources for managing medical expenses.

Document all communication with patients accurately and thoroughly in the appropriate systems or databases.

Attend various meetings virtually such as team meetings, training meetings, one-on-one meetings, etc.

Adhere to company policies, procedures, and regulatory guidelines to ensure compliance with patient privacy ( HIPAA ) and collection practices.

Ability to prioritize and multi-task in a fast-paced, changing environment.

Demonstrate ability to work in all work types and specialties.

Demonstrate ability to self-motivate, set goals, and meet deadlines.

Demonstrate problem-solving skills and the ability to think critically to identify and implement appropriate solutions.

Demonstrate excellent verbal communication skills, with the ability to effectively explain complex billing and insurance concepts to patients.

Strong active listening skills to understand patient concerns and provide appropriate resolutions.

Maintain courteous and professional working relationships with employees at all levels of the organization.

Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position.

Ability to remain calm and composed in stressful situations, and effectively de-escalate any conflicts or disputes.

Compassionate and empathetic personality to handle patient inquiries and concerns with sensitivity and professionalism.

Skill in operating a personal computer and utilizing a variety of software applications is essential.

Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation is an added advantage.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms ; climb stairs ; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.

Position Type/Expected Hours of Work

This is a full-time position. Each employee’s schedule must be between the hours of 6:00 AM PST to 9 PM PST, Monday through Friday with the specific schedule for each employee to be agreed upon by the employee’s manager and the employee, taking into account the needs of the client. This position occasionally requires long hours and weekend work.

Travel

None

Required Education and Experience

Minimum of 1-2 years prior experience/knowledge of medical billing processes, insurance terminology, and reimbursement practices .

Proficient computer skills and experience with electronic health records (HER) or billing software systems .

High School diploma or equivalent, additional education in healthcare administration or related field is a plus.

Proven experience in a customer service or call center role, preferably within the healthcare industry.

Preferred Education and Experience

N/A

Additional Eligibility Qualifications

N/A

Security Access Requirements

In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega set forth in the "Standard Field Employee" profile.

Microsoft Office

ADP

Oracle

E1- Field Employee

Standard Employee

Standard

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcarealso prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [e-mail] .

Qualifications

Education: High School Diploma or equivalent work.

Experience:

Minimum:

2-3 years of experience in a customer

service call center environment

Ability to use de-escalation practices for

escalated disputes.

Ability to understand and apply guidelines,

policies and procedures.

Must possess the ability to read, write and

communicate in English.

Ability to communicate effectively both

verbally and in writing.

Data entry skill level- minimum of 40-50

WPM preferred.

Preferred:

Medical billing experience

Bi-lingual

Prior experience in a third-party

collection or medical collections and

knowledge of industry terminology,

principles and procedures is highly

preferred.

Certifications: None

Knowledge/Skill:

Interpersonal skills

Basic computer skills

Motivation Teamwork Customer/Patient

focused Professionalism

Organizational skills

Requires knowledge of state and federal

healthcare laws and regulations.

Strong attention to detail and accuracy.

Ability to learn and master multiple

computer and phone systems quickly.

Requires highly developed communication

skills to effectively work with all levels of

management throughout the UnityPoint

Health, its subsidiaries and affiliates.

Preferred:

Knowledge of DRG’s, Revenue Codes,

CPT/HCPC Codes, modifier assignment

and government rules/regulations for

inpatient and outpatient hospital billing,

skilled nursing billing, inpatient rehab

and inpatient psych.

Other Preferred:

2 Years of Epic

1 Year of Denials/Appeals and/or Account Resolution

Certificates: None

About Us

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visitwww.omegahms.com

We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcarealso prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at [e-mail] .