Patient Accounts Representative

Overview

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.

The Patient Account Representative, under the general supervision of the Patient Accounts Director, is responsible for ensuring accurate and timely billing, collections, and payment entries using the practice management system. Additionally, this role involves verifying patient insurance coverage, processing claims, and ensuring that charge entry is correctly code. The Patient Account Representative possess exceptional communication skills and the ability to effectively interact with patients, insurance providers, and healthcare professionals.

Responsibilities

• Verifying insurance coverage and eligibility for medical services and obtaining pre-authorization for certain procedures as required.
• Processing electronic and manual post charges, insurance, and patient payments accurately to the correct patient accounts.
• Filing electronic and mail paper claims (UB and CMS1500) in a timely manner.
• Actively investigating and appealing denied claims.
• Communicating with insurance providers, healthcare professionals, and patients regarding medical claims, payments, and discrepancies through various communication channels such as mail, telephone, fax, or email.
• Working with patients to set up payment plans and provide excellent customer service.
• Reviewing outstanding accounts receivable balances and writing off uncollectible balances as appropriate.

Qualifications

Education and Experience:

• High School diploma or equivalent (GED) required.
• At least 2 years of previous office experience, preferably in a clinical setting.
• At least 2 years of prior medical billing experience or certification in medical billing.

Required Skills and Abilities:

• In-depth knowledge of insurance guidelines, including HMO/PPO, Medicare, Medicaid, and other payer requirements.
• Proficiency in Microsoft Word and Excel programs and ability to navigate in a Windows environment.
• Excellent multitasking skills and ability to work effectively in a team environment.
• Exceptional customer service skills.
• Bilingual proficiency in English and Spanish is preferable.
• Demonstrate a high level of attention to detail and accuracy in their work.
• Ability to communicate effectively with patients, insurance providers, and colleagues.
• Self-motivated, adaptable, and able to prioritize tasks in a fast-paced environment to meet deadlines.

Physical Requirements and Working Conditions:

• Fulfill immunization and fit for duty regulatory requirements.
• Prolonged periods of sitting at a desk and working on a computer.
• Use of mouse, keyboard and headset.
• Must be able to lift up to 15 pounds at times.

Benefits:Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.

Marin Community Clinics is an Equal Employment Opportunity Employer

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