POSITION SUMMARY:

The Patient Collection Representative is responsible for managing patient accounts by performing billing, collection, and customer service functions to ensure timely and accurate patient reimbursement. This role acts as a liaison between patients, insurance companies, and healthcare providers. The patient collection representative is an integral part of the admissions process.

QUALIFICATIONS:

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• High school diploma or equivalent required; associate degree or medical billing certification preferred.

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• Minimum of 1–2 years of experience in healthcare billing, collections, or patient accounting.

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• Familiarity with managed care principles, insurance authorizations, and payer requirements.

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• Excellent organizational, communication, and time management skills.

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• Proficiency in Electronic Health Records (EHRs), insurance portals, and Microsoft Office Suite

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• Knowledge of medical terminology and billing practices (CPT/ICD-10 codes).

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• Proficient in Microsoft Office Suite and healthcare billing software (e.g., CollaborateMD, Kipu).

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• Strong attention to detail and organizational skills.

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• Excellent communication and interpersonal skills.

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• Ability to handle sensitive and confidential information with discretion.

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• Process and reconcile patient accounts, ensuring accuracy of billing and timely patient collections.

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• Interact professionally with patients and families to explain billing information and resolve inquiries or discrepancies.

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• Maintain confidentiality of all patient information in compliance with HIPAA and organizational policies.

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• Verify insurance coverage when necessary.

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• Monitor accounts receivable and prepare reports as needed for management.

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• Collaborate with internal departments to coordinate account resolutions and improve service delivery.

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• Facilitate discussion with patients prior to admission to review financial responsibility

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• Obtain signed financial documents utilizing digital signatures (ie docusign)

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• Properly obtain and secure documentation in accordance with facility and payor guidelines