Patient Accounts Representative

This is a fully remote position, open to applicants in Hawaii.

📋 Description

• Calculate and deliver precise, timely cost estimates for planned procedures based on patient insurance, benefits, and historical data.

• Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to ascertain patient financial responsibilities.

• Review and accurately submit prior authorization requests for scheduled procedures based on patient insurance, benefits, and clinical data.

• Directly communicate with patients about their estimated financial obligations and discuss payment options or the need for financial counseling.

• Secure essential pre-certifications and authorizations, ensuring all documentation is correct.

• Log into and out of various systems (including practice management systems) to research and respond to patient inquiries accurately and in detail.

• Adhere to HIPAA privacy regulations when handling incoming, returning, or placing outbound calls.

• Obtain patient payment information over the phone, process the payment, and accurately document it in the account.

• Effectively escalate issues to a supervisor or management for assistance when necessary.

• Ensure compliance with all client-specific protocols during the patient billing cycles.

• Respond to requests professionally and promptly, and follow up on outstanding requests similarly.

⛳️ Requirements

• High School Diploma or equivalent.

• Exceptional customer service skills.

• Strict compliance with patient confidentiality policies is mandatory.

• Detail-oriented approach.

• Basic computer skills, including proficiency with Excel.

• Strong organizational and time management abilities.

• Good written and verbal communication skills.

🏝️ Benefits

• Medical.

• Dental.

• Vision.

• 3 Weeks PTO + 9 Company Paid Holidays (including the day after Thanksgiving and Christmas Eve).

• 401K Match.