Patient Accounts Representative

Department: Business Office *Remote Opportunity for Duly/Optum*

Location: University Commons Campus; 6301 University Commons, South Bend, IN 46635

Hours: Full Time; Hours: Monday-Thursday 8:00am-5:00pm, Friday 8:00am-4:00pm

Good enough isn’t for us. The South Bend Clinic's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.

The South Bend Clinic works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!

Holistic benefits designed to help our team members flourish in all aspects of their lives, including: 

• Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
• $5,250 Tuition Reimbursement per year. 
• 40 hours paid volunteer time off. 
• A culture committed to Diversity, Equity, and Inclusion (DEI) and Social Impact
• 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members. 
• 401(k) Match
• Profit-sharing program 

The Journeys and Adventures that Await

• Is available and answers a high volume of incoming phone calls within the Patient Accounts department adhering to all HIPAA guidelines.
• Provides customers with precise account information, updating demographic information, prorating accounts when necessary, making necessary corrections to the customers account and responding to customer concerns in a courteous and timely manner, documenting fully and accurately on the account or encounters appropriately.
• Had a full understanding of multiple payers, payer issues, contractual obligations, and patient responsibilities.
• Brings encounters to resolution by acting as a liaison between patient, payer and at time physicians, when needed, to provide the customer and/or payer with clear and accurate billing information to expedite payment in full in a timely manner.
• Works assigned listing of aged small balance accounts in a timely manner, resolving any billing issues that delay reimbursement, follows-up timely, and refers severely aged accounts to others in the collection department appropriately.
• Uses tact and sensitivity in communicating effectively and respectfully with physicians, patients, families, and coworkers.
• Has a thorough understanding of accounts, encounters, budgets, and invoices and is able to recognize coding issues, posting errors, and is able to appeal or re-file claims as necessary.
• Fully understands and is able to perform accurate account corrections.
• Performs all other duties as assigned.
• Exhibits computer systems knowledge and proficiency as necessary to perform job functions.
• Takes initiative to seek out tasks and duties or to assist others as necessary.
• Performs other duties as assigned when appropriate.

The Experiences You Bring  

Education/Certification/License:

High school diploma or equivalent is required.

Knowledge, Skills, and Abilities :

Prior experience in customer service is required. Prior experience in a health care setting is preferred. Previous phone experience and excellent customer service skills required. Computer skills and accurate typing required.