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nimble solutions

Accelerate growth. Leverage intelligent analytics. Achieve powerful financial results.

Patient Accounts Representative

Location

Hawaii

Posted

3 days ago

Salary

0

Seniority

Senior

High SchoolEnglish

Job Description

Patient Accounts Representative

nimble solutions

• Calculate and provide accurate, timely cost estimates for scheduled procedures based on patient insurance, benefits, and historical data • Verify insurance eligibility, benefits, and coverage levels (Medicare, Medicaid, Commercial) to determine patient financial responsibility • Review and provide accurate, timely prior authorization submission for scheduled procedures based on patient insurance, benefits, and clinical data • Communicate directly with patients regarding their estimated financial liability and discuss payment options or financial counseling needs • Secure necessary pre-certifications and authorizations, ensuring all documentation is accurate • Log in and out of multiple systems (including practice management systems) to research and answer patient’s questions, accurately and with detail • When handling incoming, returning or placing outbound calls, adhere to HIPAA privacy regulations • Obtain patient payment information over the phone, process the payment and appropriately note the account • Escalate issues effectively to a supervisor or management for assistance • Responsible for ensuring all client specific protocols are followed during the patient billing cycles • Respond to requests, professionally and promptly, and follow up with outstanding requests in a similar matter

Job Requirements

  • High School Diploma or equivalent
  • Exceptional customer service skill set
  • Mandatory compliance with strict patient confidentiality policies
  • Detail oriented
  • Basic computer knowledge, with Excel experience
  • Strong organizational & time management skills
  • Good written and oral communication skills

Benefits

  • Medical
  • Dental
  • Vision
  • 3 Weeks PTO + 9 Company Paid Holidays (includes day after Thanksgiving and Christmas Eve)
  • 401K Match

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