Patient Account Representative

About the role

The Patient Account Representative is a valued member of the Nox Health team and contributes to achieving departmental and organizational goals through collaboration, accountability, and a commitment to excellence. This role partners across the organization to deliver impactful work while embracing innovation, continuous improvement, and a people-first approach.

We are looking for a Patient Account Representative to join our SleepCharge RCM team. The Patient Account Representative is responsible for a number of patient account functions to ensure all participant claims are processed timely and accurately according to client-specific statement of work (SOW) and/or insurance carrier specifications. Participant accounting functions include: eligibility, verification of benefits, billing, collections, customer service, cash applications, documentation of participant activity, invoicing and oversight of renewal process.

What you'll do

• Responsible for all VOBs and documentation in the patient record
• Communicate internally and externally and respond to inquiries regarding patient eligibility, insurance, balances and CoPays
• Calculate, collect and reconcile patient financial responsibilities
• Prepare and send patient statements monthly
• Manage the annual renewal process for patients which includes: - Determine patient eligibility & update renewal eligibility/billing files - Complete VOB and document on patient record
• Obtain updated insurance information as needed
• Prepare and mail invoices monthly
• Coordinate with CareTeam as needed for patient retention & send letters regarding eligibility
• Prepare and send patient receipts
• Gather patient data for insurance claims billing & update patient subledger & claims billing systems
• Maintain & reconcile patient subledger, account balances & payment posting records
• Update patient record for past due patient balances and communicate balances internally
• Reconcile active patients monthly and ensure patients are renewed or terminated timely
• Assist with filing and reconciliation of insurance claims
• Assist with general accounting responsibilities, as needed, including, but not limited to: mail processing and deposits
• Other duties as may be assigned

Qualifications

• High school diploma
• Two (2) years experience of medical insurance patient billing/collections OR Two (2) years of customer service experience
• Basic Microsoft Excel
• Strong oral and written communication skills
• Ability to learn a variety of technology platforms, including Google Drive and in-house medical charting system
• Excellent problem-solving ability
• Ability to adapt proficiently to workflow changes necessary for process improvement
• Attention to detail and organizational skills
• Ability to speak effectively and professionally on the telephone, with client contacts and participants, and with fellow employees of the organization.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
• Ability to accurately document notes, write routine reports and correspondence.