Patient Account Representative

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    "description": "<p><span style=\"font-family:Aptos,sans-serif\"><strong>Position Overview</strong></span></p>\n\n<p><span style=\"font-family:Aptos,sans-serif\">The Patient Account Representative is responsible for delivering exceptional service to patients with inquiries related to anesthesia billing while also supporting revenue cycle performance through high-level denied claim and appeals support. This role helps ensure patients receive clear, accurate guidance regarding charges and payment options, and that claim issues are routed and supported appropriately to promote timely reimbursement.</span></p>\n\n<p><span style=\"font-family:Aptos,sans-serif\">This is a <strong>full-time, on-site</strong> position based at our corporate office in <strong>Addison, TX</strong>. Regular business hours on-site presence is required.</span></p>\n\n<div style=\"margin-bottom:11px; text-align:center\">\n<hr /></div>\n\n<p><span style=\"font-family:Aptos,sans-serif\"><strong>Key Responsibilities</strong></span></p>\n\n<p><span style=\"font-family:Aptos,sans-serif\"><strong>Patient Billing &amp; Account Support</strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Respond to inbound and outbound patient calls regarding anesthesia billing, balances, payment arrangements, insurance benefits, and patient financial responsibility.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Explain charges, EOBs, and payment responsibilities clearly and professionally.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Verify and update patient demographics, insurance information, and account/payment status within the billing system.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Process patient payments and update account records accurately and timely.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Respond to patient inquiries through email, voicemail, and the patient portal.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Accurately document all patient interactions and outcomes in the system.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Assist with patient statement processing, refunds, and follow-up on balance billing questions/issues.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Escalate complex account concerns to appropriate billing, coding, or management team members.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Collaborate with billing and coding teams to clarify documentation and resolve discrepancies.</span></li>\n</ul>\n\n<p><span style=\"font-family:Aptos,sans-serif\"><strong>Denials &amp; Appeals Support </strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Support the denial and appeals process by identifying accounts requiring follow-up and ensuring needed information/documentation is gathered and routed appropriately.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Communicate with payers, internal teams, and patients as needed regarding claim status and next steps.</span></li>\n</ul>\n\n<p><span style=\"font-family:Aptos,sans-serif\"><strong>Additional Responsibilities</strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Maintain compliance with HIPAA and OrthoMed privacy and security policies.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Support special projects, audits, and claim follow-up tasks as needed.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Other duties as assigned.</span></li>\n</ul>\n\n<div style=\"margin-bottom:11px; text-align:center\">\n<hr /></div>\n\n<p><span style=\"font-family:Aptos,sans-serif\"><strong>Qualifications</strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:Aptos,sans-serif\">High school diploma or equivalent required (Bachelor&rsquo;s degree in Healthcare Administration, Business, or related field preferred or equivalent experience).</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\"><strong>1&ndash;3 years</strong> of experience in medical billing or patient financial services/customer service; anesthesia or surgical billing experience preferred.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Familiarity with denied claims and/or appeals workflows preferred.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Working knowledge of insurance plans, medical terminology, CPT/HCPCS, ICD-10 concepts, and EOB interpretation.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Strong communication, interpersonal, and problem-solving skills (including the ability to explain billing clearly to patients).</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Strong attention to detail and ability to manage competing priorities in a fast-paced environment.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Proficient in medical billing software systems and Microsoft Office applications.</span></li>\n\t<li><span style=\"font-family:Aptos,sans-serif\">Bilingual (Spanish/English) preferred but not required.</span></li>\n</ul>\n\n<div style=\"margin-bottom:11px; text-align:center\">\n<hr /></div>\n\n<p><span style=\"font-family:Aptos,sans-serif\"><strong>Benefits / Why Join OrthoMed</strong></span></p>\n\n<p><span style=\"font-family:Aptos,sans-serif\">At OrthoMed, you&rsquo;ll be part of a team dedicated to excellence in patient care. We offer competitive compensation, health/dental/vision insurance, 401(k) with 3% non-discretionary company contributions, professional development opportunities, and a fun, collaborative work environment.</span></p>\n\n<p><span style=\"font-family:Aptos,sans-serif\">Join us in our mission to elevate healthcare standards and make a lasting impact. Apply now!</span></p>\n",
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