Patient Account Rep

Job description

About Company:
We Are Different!
Hendry Regional Medical Center is THRIVING! We have infused our culture with a focus on positivity for our teams. We know that a Healthy-Happy Workforce creates positive outcomes. Our banner is THRIVE!
T-Trust
We are committed to establishing trust at all levels, understanding that this is the foundation for all human relationships.
H-Honest-Authentic Communication
We understand the importance that communication plays in healthcare-but more importantly the ability to communicate-honestly and authentically is paramount for creating a healthy workforce.
R-Respect
It is not just a word-it is an expectation to give, and receive respect, at every level of our organization.
I-Innovation and Inclusion
We promote inclusion, and embrace understanding that the diversity of inclusion leads to the surprise of innovation! We have great thinkers with great ideas!!
V-Vulnerability
Vulnerability is a critical ingredient in creating trust. We support the effort, even if the outcome is different than expected. We understand the learner-is also a trier which means they don’t always succeed, but they always learn! We are here for each other first!
E-Expectation/Excellence
Our expectation is always to provide excellence-this extends first to each other, by creating a healthy-happy workforce. We provide an environment that Help Our People to THRIVE by creating JOY at Work!
About the Role:
The Patient Account Representative plays a critical role in managing and resolving patient billing inquiries to ensure accurate and timely account reconciliation. This position serves as the primary point of contact for patients regarding their financial responsibilities, providing clear explanations of charges, insurance coverage, and payment options. The role requires collaboration with healthcare providers, insurance companies, and internal departments to verify patient information and resolve discrepancies. Success in this position contributes directly to the financial health of the healthcare organization by improving patient satisfaction and reducing outstanding balances. Ultimately, the Patient Account Representative helps maintain transparent communication and fosters trust between patients and the healthcare facility.
Minimum Qualifications:
• High school diploma or equivalent required; associate degree or higher preferred.
• Previous experience in patient billing, medical billing, or customer service within a healthcare setting.
• Basic knowledge of medical terminology and healthcare insurance processes.
• Proficiency with billing software and Microsoft Office applications.
• Strong communication and interpersonal skills to effectively interact with patients and team members.

Preferred Qualifications:
• Certification in medical billing or coding (e.g., CPC, CCA) is advantageous.
• Experience working with electronic health record (EHR) systems.
• Familiarity with HIPAA regulations and patient privacy standards.
• Demonstrated ability to handle difficult conversations with empathy and professionalism.
• Bilingual abilities to support diverse patient populations.

Responsibilities:
• Respond promptly and professionally to patient inquiries regarding account balances, billing statements, and payment plans.
• Verify patient insurance coverage and eligibility to ensure accurate billing and minimize claim denials.
• Collaborate with insurance companies and internal billing departments to resolve discrepancies and process adjustments.
• Assist patients in setting up payment arrangements and provide guidance on financial assistance programs when applicable.
• Maintain detailed and accurate records of all patient interactions and account activities in compliance with healthcare regulations.

Skills:
The Patient Account Representative utilizes strong communication skills daily to clearly explain complex billing information and resolve patient concerns with empathy and professionalism. Analytical skills are essential for reviewing account details, verifying insurance coverage, and identifying discrepancies that require resolution. Proficiency with billing software and electronic health records enables efficient management of patient accounts and documentation. Organizational skills help prioritize tasks and maintain accurate records in compliance with healthcare regulations. Additionally, problem-solving abilities support collaboration with insurance providers and internal teams to ensure timely and accurate account reconciliation.