Patient Accounts Representative- Insurance Biller Assistant

Department: Patient Accounting

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

Benefit Status: Full-time

• 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:

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

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.

• 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 work queues 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

• 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