Patient Accounts Representative / Insurance

Western Montana Clinic; Missoula (MT); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Paid time off

401(k) + match

Dental insurance

Vision insurance

Disability insurance

Job summary

Western Montana Clinic in Missoula is seeking a full-time Insurance Representative / Patient Accounts Representative for its Central Billing Office. You will handle a high volume of patient and insurer inquiries, documenting interactions in billing systems and analyzing accounts to resolve discrepancies and resubmit claims.

The role requires familiarity with insurance contracts, collaboration with Financial Counselors to set up payment plans, and strict HIPAA compliance.

Qualifications

• High school diploma or equivalent required.
• Experience with medical insurance billing preferred.
• Understanding of insurance contracts beneficial.
• HIPAA privacy and security knowledge required.

Responsibilities

• Handle a high volume of telephone contacts with patients/insurance companies and respond to inquiries.
• Document all interactions in the patient’s medical billing account.
• Analyze accounts, determine billing discrepancies and resubmit corrected claims to insurance carriers; appeal denied claims if needed.
• Review insurance Explanation of Benefits to determine payment appropriateness.
• Ensure patient billing information is accurate and up to date; work with Financial Counselors on monthly payment plans; comply with HIPAA regulations.

Skills

Phone support

HIPAA compliance

Account analysis

Customer service

Education

High school diploma

Medical billing certificate/diploma

Job description

At Western Montana Clinic, we are continuing our 100-year tradition of providing excellent health care to the community. We are a group of local, independent providers practicing in multiple specialties. Our mission remains the same - to provide our patients with the same high quality health care that we expect for our families.

We are seeking a full-time Insurance Representative / Patient Accounts Representative for medical billing to join our Central Billing Office team. Wage Range DOE

In this position you will:

• Handle a high volume of telephone contacts with patients/insurance companies and respond appropriately to inquiries regarding their medical billing and account status.
• Document all interactions in a precise and complete manner in the patient’s medical billing account.
• Analyze accounts, determine billing discrepancies and resubmit corrected claims to insurance carriers. If necessary, appeal denied claims using payer specific protocols.
• Review insurance Explanation of Benefits to determine appropriateness of payments.
• Ensure the patient’s medical billing information is accurate and up to date.
• Must have understanding of insurance contracts.
• Work closely with Financial Counselors to assist patients to set up monthly payment plans according to company and regulatory policies.
• Comply with the HIPAA Privacy and Security Regulations.

Benefits Offered:

• Health insurance
• Life insurance
• Paid time off
• 401(k) + match
• Voluntary benefits - Dental insurance, Vision insurance, Disability insurance

Minimum Requirements:

• High school diploma or equivalent
• Previous medical insurance billing experience in a healthcareorganization preferred or equivalent combination of experience and education in a medical insurance billing program.

The successful candidate will be subject to a background check.

An Equal Opportunity Employer