Patient Accounts Representative - Customer Service

Nationwide Children's Hospital; Columbus (OH); Remote; USD 35,000 - 55,000; Full time

Job summary

An established healthcare provider is seeking a dedicated billing specialist to assist patients and families with their billing inquiries. This role is crucial for ensuring that all billing-related issues are resolved efficiently and effectively. You will communicate directly with patients to discuss payment options and negotiate arrangements, while also collaborating with various internal departments and external agencies. If you have a strong background in customer service and medical billing, this is a fantastic opportunity to make a meaningful impact in a supportive environment.

Qualifications

• Four years' experience in customer service is required.
• Two years' experience in medical billing and claims follow-up is required.

Responsibilities

• Assist patients with billing inquiries and resolve disputes.
• Collaborate with insurance companies to collect payments.

Skills

Knowledge of medical terminology

Customer service experience

Medical billing and claims follow-up

Problem solving skills

Excellent communication skills

Data entry skills

Knowledge of reimbursement regulations

Education

High school diploma or GED

Associates degree

Tools

Outlook

Word

Excel

Job description

Overview:

Schedule: M-F (Day shift, 8:30am-5pm)

Fully remote, employee must reside within the Central Ohio area

Job Description Summary:

Assists patients and families with billing inquiries, resolves disputes, and collects payments for hospital services.

Job Description:

Essential Functions:

• Addresses concerns and questions and resolves issues and complaints in a timely manner.
• Communicates with patients to discuss billing questions and payment options. Negotiates payment arrangements and helps families obtain financial assistance.
• Collaborates with collection agencies, insurance companies, and internal departments to collect payments.
• Processes all “Returned Mail” – including skip tracing and contacting doctor’s offices for information.
• Assists in resolving payer problems and billing and reimbursement issues.
• Maintains patient records and ensures confidentiality of sensitive information.

Education Requirement:

• High school diploma or GED, required.
• Associates degree, preferred.

Licensure Requirement:

(not specified)

Certifications:

(not specified)

Skills:

• Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third-party payers.
• Ability to relate to diverse age and demographic backgrounds.
• Knowledge of Healthy Start, BCMH, AEMA and Financial Assistance.
• The ability to do data entry and work a calculator.
• Problem identification and problem solving skills are required.
• Excellent interpersonal, verbal, and written communication skills.
• Excellent organization skills and the ability to comprehend and follow written and verbal instructions.

Experience:

• Four years' experience in customer service, required.
• Two years' experience in medical billing and claims follow-up, required.
• One year experience working on a mainframe computer. Experience using Outlook, Word and Excel, required.

Physical Requirements:

OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 26-40 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking

FREQUENTLY: Peripheral vision

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Pushing / Pulling: 0-25 lbs, Repetitive hand/arm use, Seeing – Far/near, Sitting

Additional Physical Requirements performed but not listed above:

(not specified)

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"