Patient Account Representative

POSITION SUMMARY

The Patient Account Specialist for Riccobene Associates Family Dentistry works with both patients and Insurance companies to ensure that Riccobene Associates is accurately and completely collecting fees in accordance with our Insurance Agreements and our Company Policy.

Job Duties & Responsibilities:

·         Responsible for the management of patient accounts receivable and collections at the assigned location(s)

·         Performs account and balance audits to ensure accurate balances, collection, and billing

·         Reviews and validates patient statements

·         Identifies and validates patient copays that need to be collected each day

·         Intake and resolution of patient billing questions, inquires, and issues

·         Identifies patients with past due balances and initiates soft or hard collections processes

·         Sends patient letters and contacts patients via phone regarding past due balances

·         Provides general Revenue Cycle assistance and support assigned location(s) as needed

·         Resubmit insurance claims where needed for patient resolution

·         Process patient refund request(s)

·         General liaison between centralized revenue cycle department and office operations to ensure efficient partnership and process improvement

·         Ability to handle other revenue cycle projects as assigned

Qualifications:

To successfully perform the job responsibilities for the position of Patient Account Specialist, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/ or ability required but are not all inclusive.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential requirements.

Essential Requirements

·         Previous Accounts Receivable or Collections experience

·         Experience with Dental Practice Management Software (Denticon, Dentrix, Eaglesoft, Open Dental, Softdent)

·         Preferred 2+ years of Dental Accounts Receivable, Collection, or Billing experience

·         Computer proficiency including Outlook, Excel, and Word   and the ability to learn new programs

·         Must have organized approach to workload with proper prioritization and follow through

·         Must be able to accurately interpret Explanation of Benefits statements (EOB's)

·         Ability to demonstrate independent thinking and exercise good judgment

·         Excellent customer service skills and qualities

·         Ability to demonstrate a teamwork approach to job responsibilities

·         Ability to demonstrate initiative, dependability and promptness

·         Ability to exercise confidentiality with patients and patient care

·         Must listen attentively for clarification to ensure necessary outcomes

Language and Reasoning Abilities

·         Effectively communicate with patients and insurance companies to collect outstanding balances

·         Communicate both verbally and through patient screen notes with both front desk and clinical as needed

·         Ability to read and interpret documents such as safety rules, procedure manuals, and written correspondence

·         Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form

·         Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).