Altus Community Healthcare · 5 months ago
Patient Account Representative
Houston, TX
Full-time
Onsite
Mid Level
3+ years expAltus Community Healthcare is seeking a Patient Account Representative to provide effective customer service for internal and external customers. The role involves resolving patient issues related to billing, conducting collection calls, and ensuring compliance with medical records processes.
Health CareHospital
Responsibilities
Ensure delivery of excellent customer service through communication and coordinating with team or other departments to resolve issues
Handle incoming calls from patient with questions regarding their statement, EOB’s and/or services received at Altus facilities; process patient refunds, process and review account adjustments
Conduct incoming and outgoing Tier One collection calls to check on claim status and render payment from insurance companies, patients, vendors and responsible parties
Conduct routine audits on medical records process to ensure any and all compliance rules are met
Ensure that all accounts are worked timely and documentation is kept up to date
Negotiate payment plans according to specified guidelines
Responsible for fielding complaints about facility/clinical care, standards as well as HIPAA, red flag rules, and other problems that patients may have. Must record complaints and forward to appropriate manager
Follow up with patients to ensure that appropriate changes were made to resolve customers’ complaints or issues
Responsible for monitoring and running daily and monthly reports on assigned facilities to ensure balance is due to patient’s in-network Emergency Room benefits and update account status
Responsible for completing patient, physician, and any other medical records requests
Perform other duties as assigned
Demonstrate knowledge of and adhere to regulations and Emergency Center policies and procedures pertaining to safety, emergency preparedness, infection control, OSHA, fire safety and hazardous materials
Participate in performance improvement activities as necessary
Maintain confidentiality of patient related issues and adhering to all HIPAA rules and regulations
Demonstrate effective interpersonal skills
Treat all patients, visitors, and staff members fairly and with respect
Utilize effective communication methods and skills
Explain all procedures, treatments, and care while remaining aware of language barriers
Able to perform care in non-judgmental manner and recognize discrepancies between patient and personal beliefs
Ensure personal appearance is business casual and professional at all times
Responsible for wearing Emergency Center identification badge at all times which must be visible and above the waistline
Attend all required meetings and in-service education
Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments
Compliance with attendance standards
Demonstrate flexibility when changes in assignments are necessary
Qualification
Required
High school diploma required
3-4 years customer service experience a must
1-2 years experience in medical billing
1-2 years of experience medical insurance collections
Excellent communication skills with internal and external clients
Ability to read, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's
Ability to perform these operations using units of American money and weight measurement, volume, and distance
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
Ability to deal with problems involving several concrete variables in standardized situations
Intermediate computer skills
Company
Altus Community Healthcare
Located in Houston, Texas, Altus Community Healthcare's mission is to serve our neighborhood and surrounding areas with the highest standards of medical care and compassion.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jason Lisovicz
President & Chief Patient Experience Officer
Recent News
2024-12-28
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