Patient Accounts​/Insurance

Patient Accounts/Insurance Follow-up | Full-time

Patient Accounts | Customer Service | Insurance Follow-up

Our Values:

In common mission, our teams work together with our patients  strive to continuously improve. We value one another’s diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration.

• Schedule
  :
  Full-time, 40 hours/week
• Shifts: Days Monday thru Friday. 8:00 am - 4:30pm.
• Training
  :
  Flexible hours for the first 4-6 weeks.
• Work Location
  :
  Onsite position

Job Summary

Responsible for accounts receivable coordination on behalf of patients. This position will work as an advocate for patients by responding to questions and provide resolution for unpaid claims.

Key Responsibilities

• Prepare and submit claims to the insurance companies and patients’ compliance with payer requirements and HIPAA regulations.
• Refile failed and rejected claims by verifying accuracy of charges, coding, and patient information.
• Monitor aging reports and follow up on unpaid claims and patient balances.
• Communicate with insurance carriers to resolve denials, underpayments and discrepances. Refile claims as required if correction or adjustment are made.
• Assist patients with billing inquiries and establish payment plans when necessary.
• Generate and analyze AR aging reports, identifying trends and recommending solutions.
• Ensure adherence to healthcare regulations, payer contracts, and internal policies.
• Collaborate with clinical staff, coding teams, and patient services to resolve billing issues.
• Answer calls and emails received from patients and payors regarding statement inquiries and research issues as necessary.
• Knowledge of CPT, ICD-10, and HCPCS coding standards
• Strong understanding of insurance verifications, claim submission, and denial management.
• Skill in using a computer and a variety of software, including Electronics Health Records (EHR) software, scheduling software, Word, Excel, Access, and Outlook.
• Skill in communicating in a professional manner, both verbally and in writing.
• Skill in managing multiple priorities and delegating as needed.
• Ability to act as a good representative of the Company.
• Ability to maintain confidentiality regarding sensitive issues, patient care, privacy confidentiality, and employee safety.
• Ability to work independently and in a team environment.

Education & Experience

• High School diploma or GED required. Associate’s degree in accounting, finance, healthcare administrations, or equivalent experience preferred.??
• Three years of accounts receivable experience in a healthcare setting (hospital, clinic, or physician practice), medical billing and insurance claims/denials.

Think Whole Person Healthcare is an Equal Opportunity Employer.