Patient Accounts Representative / Insurance

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

Benefits offered by this job

Health insurance

Life insurance

Paid time off

401(k) + match

Voluntary benefits - Dental insurance,

Job summary

Western Montana Clinic is seeking a full-time Insurance Representative / Patient Accounts Representative to join our Central Billing Office. This role focuses on medical billing, insurance communications, and accurate account management to support patient care.

The successful candidate will handle high-volume inquiries, review explanations of benefits, and collaborate with Financial Counselors to arrange payment plans in accordance with policy and HIPAA regulations.

Qualifications

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

Responsibilities

• Handle a high volume of telephone contacts with patients/insurance companies and respond to inquiries regarding billing and account status.
• Document all interactions in the patient’s medical billing account precisely.
• 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 accuracy and appropriateness.
• Ensure patient billing information is accurate and up to date.
• Understand insurance contracts and policy terms.
• Collaborate with Financial Counselors to set up monthly payment plans in line with policies.
• Comply with HIPAA Privacy and Security Regulations.

Skills

Medical billing experience

Communication

Attention to detail

Education

High school diploma

Tools

Medical billing software

Job description

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 healthcare organization 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