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Patient Account Representative

Patient Account Representative

OneOncologyAtlanta, GA, United States
8 days ago
Job type
  • Full-time
Job description

Welcome to Piedmont Cancer Institute - where patient care is more than a mission; it's a partnership and our values lead the way.

For more than 38 years, Piedmont Cancer Institute (PCI) has proudly served the Metro Atlanta community, delivering exceptional cancer care built on a foundation of Compassion, Innovation, Communication, and Integrity . Today, our team includes 17 dedicated physicians, 20 skilled Advanced Practice Providers, across 6 locations (and growing) -all united in our commitment to excellence.

At PCI, we blend cutting-edge treatments with deep clinical expertise and genuine compassion to offer truly comprehensive care. Our dedication goes beyond medicine-it's reflected in how we care for our patients, support their families, and collaborate with one another. No matter your position, a career at PCI offers more than a paycheck. It's a place where purpose meets passion, where connection fuels collaboration, and where your work makes a lasting impact.

Why Join PCI?

We're looking for talented individuals who share our passion for making a difference. If you value Compassion , embrace Innovation , prioritize open Communication , and act with Integrity , you'll thrive at Piedmont Cancer Institute-where every role plays a part in advancing hope and healing in our community. Here, you'll find purpose in your work.

Job Description :

The Patient Account Representative (PAR) reports to the Billing and Collections Supervisor. The PAR is responsible for executing all duties for the Patient Statement Process which includes : taking all inbound phone calls, researching patient issues, collecting past due balances from the patients, facilitating past due patient accounts to outside collections, responding to all patient inquiries via fax / email / calls, processing credit cards, and all correspondence.

The successful candidate will be flexible and able to multi-task in a fast-paced, high-volume setting. Prior experience in a Healthcare / Managed Care environment is crucial for success in this role. This position is located at our Revenue Cycle Office in Atlanta and reports to the Billing / Collections Supervisor.

Primary Job Function

  • Establish and maintain a high-level customer service approach when working with all patients
  • Maintain Daily communication with Team Leaders / Supervisor.
  • Maintain a high-level customer service approach when working with Accounts Receivable Specialists, payors, and centers.
  • PAR will work each call to its conclusion including but not limited to working with other teams to research, review, and respond to the patient's needs, and provide follow-up within a 24-hour period.
  • PAR will be responsible for assigned reports that will be completed in the allotted timeframe. This will include but not be limited to bankruptcies, death notifications, agency referrals, and bad addresses including skip tracing.
  • Reports / follow up on payment plan reports, statement requests, address mail changes and any other report that will need to be worked on to complete patient records.
  • PAR will be responsible for collecting patients' unpaid balances.
  • PAR will be responsible for processing credit card payments.
  • PAR will be responsible for creating / submitting weekly patient statement run.
  • PAR will be responsible for processing patient refund requests within 30 days.
  • PAR is responsible for updating patient demographic information from returned mail and address correction reports
  • Perform other job duties as assigned by Supervisor.
  • Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA).

HIPAA Requirements :

The Patient Account Representative (PAR) will have access to PHI in the course of his / her duties. The Patient Account Representative (PAR) uses PHI for all aspects of billing, patient accounts, and communications with insurance companies. Applying the minimum necessary standard of HIPAA, the designated record sets to which this employee will have access to : all information in the practice management system, the full medical record, end-of-day reports from the practice management system, CMS 1500 forms, all communications from insurance companies, all collections information.

Qualifications : Education

  • High School Diploma or GED required
  • Associate degree in Business Administration or related field preferred
  • Work Experience

  • 2 years of Medical Billing experience is required.
  • 1 year of medical call center, customer service required
  • Ability to read, interpret and explain EOBs to patients and why they are responsible for the balance.
  • Required Licenses / Certifications

  • CPAR - Certified Patient Account Representative preferred
  • Additional Knowledge, Skills, and Abilities Required

  • Electronic Medical records experience is required, Centricity is preferred
  • Hands-on knowledge of CPT and ICD codes
  • Excellent phone, communication, organizational skills, computer skills and mathematical skills
  • Ability to maintain patient confidentiality
  • Additional Knowledge, Skills, and Abilities Preferred

  • Experience with Microsoft Excel and Word
  • Required knowledge, skills, and abilities :

    Customer service skills :

    Ability to represent the Department in a professional manner when interacting with patients, guests, physicians and their staff.

    Ability to handle service issues professionally

    Ability to follow through with customers

    Communication Skills :

    Ability to communicate effectively with patients about the financial aspects of their care.

    Keyboard skills :

    Ability to type proficiently

    Teamwork :

    Ability to function effectively as an extension of Piedmont Cancer Institute

    Be flexible and open-minded in thought processes

    Maintain focus under pressure

    Share relevant information with other employees

    Volunteer to assist others when time permits

    Medical Terminology & Insurance

    Ability to understand basic medical terminology

    Ability to calculate deductible and co-insurance correctly

    Ability to read and understand carrier Explanation of Benefits

    All other duties as assigned.

    Note : This job description is not inclusive of all the duties of the position. You may be asked by leaders to perform other duties. Management reserves the right to revise this position description at any time.

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