Patient Account Representative (70294)

Variety Care; Oklahoma City (OK); Presencial; USD 36 000 - 48 000; Tempo integral

Resumo da oferta

Variety Care is seeking a Patient Account Representative in Billing to manage self-pay patient accounts, verify documentation, and apply financial assistance programs. You will serve as a primary contact for patients, helping them understand balances, available payment options, and eligibility for assistance.

You will collaborate with Revenue Cycle staff to improve collections, ensure accurate self-pay records, and support compliant billing practices in an office-based environment.

Qualificações

• High school diploma or GED required.
• 1–2 years of customer service in an office or healthcare setting preferred.
• Experience with patient accounts, collections or financial assistance is a plus.

Responsabilidades

• Manage self-pay patient accounts and ensure accuracy of billing documents.
• Assist patients with financial assistance applications and payment options.
• Respond to patient inquiries about balances, insurance, and financial responsibilities.
• Collaborate with Revenue Cycle staff to resolve denials, credit balances, and discrepancies.
• Maintain HIPAA-compliant documentation and accurate records in EMR and billing systems.
• Support process improvement initiatives and meet productivity and quality targets.

Conhecimentos

Customer service

Verbal communication

Basic computer proficiency

Navigate multiple software systems

Documentation and organization

Formação académica

High school diploma or GED

Descrição da oferta de emprego

Department: Billing

Position: Patient Account Representative

Employee Category: Non-Exempt

Reporting Relationship: Manager of Revenue Cycle Management

Direct Reports: None

None Work Environment: Office-Based

Company Values

• Teamwork - Collaborates effectively with coworkers and stakeholders to achieve shared goals.
• Belonging - Creates an environment where all individuals feel respected, valued, and included.
• Compassion - Demonstrates empathy and understanding when interacting with others.
• Resilience - Maintains effectiveness and professionalism during challenges and change.
• Stewardship - Uses organizational resources responsibly and acts in the organization's best interest.
• Quality - Consistently delivers accurate and reliable work.
• Value - Improves organizational outcomes through efficiency and continuous improvement.

Summary Of Duties And Responsibilities

The Patient Account Representative is responsible for managing self-pay patient accounts by ensuring account accuracy, reviewing financial documentation, applying financial assistance programs, and assisting patients in resolving outstanding balances. This position supports accurate patient billing while helping eligible patients access available financial assistance and payment options.

The Patient Account Representative serves as a primary point of contact for patients regarding self-pay accounts and collaborates with Revenue Cycle staff to improve collections, reduce self-pay accounts receivable, and provide an exceptional patient financial experience.

Essential Duties And Responsibilities

Patient Account Management

• Review self-pay encounters for accuracy prior to generating patient statements.
• Review documentation to ensure appropriate discounts are applied, including verification of Sliding Fee Scale applications and proof of income.
• Make billing corrections and account adjustments to ensure accurate patient balances and timely reimbursement.
• Validate patient financial information and maintain accurate self-pay account records.
• Request, collect, scan, and upload documentation required to support patient financial assistance and account processing.
• Review patient accounts to ensure compliance with organizational financial assistance policies.

Customer Service and Financial Assistance

• Respond to patient inquiries regarding account balances, insurance benefits, deductibles, copayments, and financial responsibilities.
• Educate patients regarding available financial assistance programs and eligibility requirements.
• Assist patients in completing financial assistance applications and collecting required documentation.
• Coordinate payment arrangements with Patient Account Resolution Specialists.
• Answer incoming phone calls related to patient billing, balances, payment plans, and financial assistance.
• Provide professional and compassionate customer service while resolving patient account concerns.

Billing Support and Collaboration

• Coordinate with Claims Resolution Specialists and Coders to investigate denied claims, credit balances, and account discrepancies.
• Assist front office staff with patient billing and eligibility questions.
• Monitor self-pay account activity and identify trends or recurring issues affecting reimbursement.
• Track and communicate ongoing billing issues and process improvement opportunities to the Patient Account Manager and Director of Revenue Cycle Management.
• Maintain current knowledge of organizational financial assistance programs, billing policies, and payer requirements.

Documentation and Compliance

• Maintain complete, accurate, and timely documentation within the electronic medical record and billing systems.
• Protect patient confidentiality and ensure compliance with HIPAA and organizational policies.
• Maintain compliance with Medicare, Medicaid, and organizational billing requirements.
• Participate in quality improvement initiatives, departmental meetings, and special projects.

General Expectations

• Meet established productivity, quality, and timeliness expectations.
• Support organizational initiatives that improve patient access, patient satisfaction, and financial performance.
• Perform other duties as assigned.

Success Indicators / Key Performance Metrics

• Self-pay Accounts Receivable (AR)
• Self-pay AR Days
• Collections for self-pay accounts
• Collections for special programs
• Accuracy of Sliding Fee Scale documentation
• Timeliness of account processing

Top performers consistently demonstrate initiative in resolving patient account issues, maintain accurate documentation, maximize reimbursement opportunities, provide excellent customer service, and collaborate effectively with the Revenue Cycle team.

Qualifications

Required Qualifications

Education

• High school diploma or GED equivalent required

Experience

• One (1) to two (2) years of customer service experience in an office or healthcare environment
• Experience working with patient accounts, collections, or financial assistance programs preferred

Certifications/Licensure

• None Required

Technical Skills

• Strong attention to detail
• Excellent verbal communication and customer service skills
• Basic computer proficiency
• Ability to navigate multiple software systems
• Strong organizational and documentation skills

Preferred Qualifications

• Customer service experience in a medical office
• Experience with patient financial assistance programs
• Healthcare billing experience
• Bilingual (English/Spanish)
• Basic knowledge of insurance, CPT coding, and medical terminology

Working Conditions / ADA Requirements

• Prolonged sitting throughout the workday
• Frequent computer and telephone use
• Frequent interaction with patients and staff
• Ability to maintain concentration while reviewing financial documentation
• Ability to communicate effectively verbally and in writing
• Office-based work environment