Patient Accounts Representative- Insurance Biller Assistant

Alomere Health; Alexandria, Northern (MN, KY); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

Health, Dental, and Vision Insurance

Employee Health Clinic (health+)

401(k) with company match (up to 6%)

Job summary

Alomere Health in Minnesota seeks a Patient Accounts Assistant to support patients and remote staff. The role requires strong customer service, multitasking, and healthcare billing knowledge. Onsite hours are 7:00am–3:30pm, Monday to Friday.

You will verify insurance eligibility, process EOBs, handle refunds, and assist the billing team while maintaining precise account records and excellent patient communication.

Qualifications

• Excellent customer service skills
• Mutli-tasking and prioritizing abilities
• Medical office knowledge

Responsibilities

• Verify eligibility, adjudication info, and coverage on insurer websites.
• Read electronic ERTs and update patient accounts.
• Review and mail refunds to insurers or patients.
• Explain benefits by reading Explanation-of-Benefits to patients.
• Understand 1500 and UB forms.
• Maintain contact with client accounts on claims status.
• Manage work queues to verify coverage timely.
• Provide cost-share patients with claim forms and discounts.
• Print PB claim runouts from EPIC daily.
• Perform Hospital Billing (HB) claim counts daily.
• Assist Reception/Admitting with insurance questions.
• Respond to patient questions and document calls.
• Provide detailed bills to Release of Information.
• Send requested medical records to insurers.
• Follow up on outstanding disputed claims.
• Assist Billing Team with calls and appeals.

Skills

Customer Service

Medical Office Knowledge

Organizational Skills

Job description

Department: Patient Accounting

Employment Status (Full Time Equivalent): Full-Time (1.0 FTE)- 80 hours per pay period

Benefit Status: Full-time

Benefits include:

• Health, Dental, and Vision Insurance
• Employee Health Clinic (health+): Our health+ clinic provides office visits and prescription medications for little to no cost to Alomere Health employees and their dependents who are on a medical insurance plan
• Retirement Savings: (401(k)) - All eligible employees of Alomere Health are automatically enrolled. All eligible employees are able to contribute on a pre-tax and/or post-tax basis and Alomere Health matches up to 6% of employee's contributions.
• Please see more details about our benefits here: https://alomerehealth.com/careers/#benefits

Hours: Monday thru Friday: 7:00am to 3:30pm (Onsite)

Position Objective:

The Patient Accounts Representative Assistant is responsible for assisting patients and remote working staff. This position must have excellent customer service skills, mutli-tasking and prioritizing abilities, a team spirit, and medical office knowledge.

Essential Responsibilities:

• Navigating insurance websites to verify eligibility, adjudication information and coverage issues pertaining to a specific insurance company.
• Read electronic RTE's (real time eligibility) that come back from the insurance companies and update patient accounts to reflect correct information
• Review, document, and mail refunds to insurance companies and/or patients
• Able to read an Explanation-of-Benefits and explain the claims processing to patients
• Knowledge of a 1500 form and an Uniform Billing form (UB) form
• Maintain contact with client accounts regarding new and old claims
• Reviews and manages workqueues to obtain, identify and verify coverage in a timely manner
• Supply cost-share patients with a claim form and detailed bill, then adding self-pay discount to charges
• Print Professional Billing (PB) claim run out of EPIC daily
• Perform Hospital Billing (HB) claim count daily
• Assist the Reception/Admitting staff when they call with questions on the different types of insurances.
• Responding to patient questions to resolve billing questions and concerns. Forwarding unresolved issues to the appropriate party and documenting all phone calls electronically.
• Providing detailed bills to our Release-of-Information
• Send requested medical records to insurance companies
• Calling on updates for outstanding disputed claims
• Assisting the Billing Team by answering incoming phone calls or mailing appeals as needed

Other Responsibilities:

• Perform all other related duties as assigned in a professional and responsive manner
• Demonstrate the ability to use relevant equipment
• Support, understand, and promote Alomere Health's mission, vision, values, policies and procedures
• Ability to meet the work schedule requirements with flexibility dependent upon the needs of the department
• Foster respectful working relationships with professional colleagues, patients, families, and general public regardless of age, gender, lifestyle, culture, beliefs, race, socioeconomic class, or ability