Patient Accounts Representative

Description

Title: Patient Accounts Representative

Location: Administrative Office - Patient Accounts Department

City: Bellingham, WA

Position: Full-time, Monday-Friday, 8:00 am - 5:00 pm, non-exempt (hourly)

Compensation: The full wage scale is $18.23 - $25.85 per hour. Placement within the wage range is determined by a candidate’s relevant experience.

Benefits: At FCN, we offer a comprehensive benefits package designed to support your well-being and that of your family, with flexibility and quality care.

Health Benefits:

• Two Medical PPO plan options
• Flexible Dental coverage, including orthodontia for children and adults
• Employer-paid Vision coverage for employee and family members
• Expanded Employee Assistance Program (EAP) and mental health programs, including wellness and discounted gym memberships
• Flexible Spending Account (FSA), Healthcare and Dependent Care
• Health Savings Account (HSA) with an employer contribution of $1,500 (pro-rated based on enrollment eligibility)
• Health Reimbursement Account (HRA), up to $1,500 ($3,000 for family coverage)
• Employer-paid Life/AD&D insurance with optional supplemental additional coverage including a guaranteed issue amount with no health questionnaire
• Voluntary Accident and Hospital insurance plans with annual wellness benefits

*Eligibility for these benefits depends on your full-time or part-time status.

Time Off & Wellness:

• Paid Time Off (PTO), Paid Sick Leave (PSL), and Extended Illness Bank (EIB) to support your vacation, health, and personal needs
• PTO, PSL, and EIB accrue starting on your first day, and you can use paid time off after the applicable days of employment
• Full-time employees generally begin earning 18 days of PTO, increasing 33 days over time per our PTO policy.  You can rollover unlimited PTO hours into the next year.
• PSL accrues at 1 hour per 40 hours worked
• EIB accrues up to 32 hours per year (pro-rated based on hours worked) for both part-time and full-time employees, with a maximum of 480 hours

Retirement:

• 401(k) plan with employer match, both Traditional and Roth options available
• 401(k) Profit Sharing Plan
• Free financial planning guidance to support your retirement goals

*Eligibility for these programs is based on your years of service and required payroll hours.

Additional Benefits:

• Eligibility for FCN applicable bonuses
• Annual uniform allowance for clinical staff
• Reimbursement of renewal fees for required licensure for clinical staff

Job Summary: The Patient Accounts Representative's primary responsibilities include processing payments, denials and overpayments of accounts in the private or insurance category that is assigned to them in accordance with FCN policies and procedures. This role is performed onsite in the Patient Accounts Department.

Essential Job Functions:

• Posts patient payments, miscellaneous insurance, and contracted insurance payments and adjustments received through lockbox deposits or received electronically. Provides timely feedback to facilitate accurate claim submission.
• Process EOBs according to contractual agreement and in accordance with established FCN policies and procedures.
• Review and follow up on aging claims for specific insurance carriers.
• Work payment entry status report.
• Adheres to assigned work schedule (attendance and punctuality).
• Answer patient, insurance, and other billing inquiries.
• Generates refunds in accordance with established FCN policies and procedures.
• Communicate billing rule updates set by insurance carriers to appropriate individuals (manager, supervisor, team, and/or clinic).
• Balance payment batches, review, and sign off.
• Update demographics on the patient’s account as appropriate. Review and correct billing information on insurance denials.
• Employee seeks assistance as needed and communicates questions in a timely manner and to appropriate staff (supervisor, colleagues, etc.).
• Other duties as assigned.

Knowledge, Skills & Abilities:

• Accurate & efficient keyboarding & data entry.
• Accurately performs detailed work (i.e. plan, multitask, organize, and prioritize work).
• Intermediate computer skills: Health information systems, EMR, MS Word & MS Excel.
• The knowledge base in claims processing for medical billing. Working knowledge of Form 1500, CPT, and ICD Codes. Calculate accurate payment amounts on insurance. Specialized knowledge of commercial insurance, and federal and state billing requirements.
• Strong customer service skills.
• Knowledge of a medical office practice and medical terminology.
• Solve problems, issues, and concerns in a professional manner.
• Work as part of a team; model a positive work ethic & customer-friendly relations.
• Prioritize and multitask detailed projects with frequent interruptions.
• Establishes good employee relations including conflict resolution.
• Discern and maintain confidentiality, in compliance with applicable State and federal laws (i.e. HIPAA).
• Comprehend and communicate information accurately and clearly (verbally and in writing, in person and via phone) with patients, all levels of personnel, and other individuals and groups.

About FCN: As an independent, locally owned, physician-run network of family medicine providers, we are passionate about our community's well-being. We take the time to build strong, long-term relationships with our patients and our employees. We have 12 clinics and 3 urgent care centers in Whatcom and Skagit County, in a beautiful corner of northwest Washington where the mountains meet the sea. Family Care Network offers an innovative and rewarding work environment, with a strong patient focus and a fulfilling mission.

Qualifications

Education and Experience:

• High school diploma or equivalent required.
• Completion of a medical billing program, or a combination of education and experience in a role demonstrating similar skills and performance requirements.

Physical Requirements: While performing the duties of this job, the employee is occasionally required to: stand; walk; sit; use hand to finger coordination, handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance, stoop, kneel, crouch; talk or hear. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required include: close vision, peripheral vision, depth perception and the ability to adjust and focus.

Immunization Requirements: Employees are required to meet immunization standards in accordance with federal, state, and organizational health and safety guidelines, as applicable to the role. A simple process is in place for employees to request exemptions for medical or religious reasons.

Family Care Network is a Drug-Free, Equal Opportunity Employer.

Salary : $18 - $26