at Superior Air-Ground Ambulance Services, Inc. in Elmhurst, Illinois, United States
Job Description
Overview
EMS Patient Account Representative (Bilingual - Spanish)
The EMS Patient Account Representative is responsible for working directly with the patients and their health insurance to resolve open balances. This could include but not limited: utilizing payer portals to check claim status, updating patients' insurance policy, reviewing / updating the ICD-10 code listed, working CMS1500, talking to attorneys and processing payments.
Responsibilities
Responsibilities of the EMS Patient Account Representative
- Places and receives calls regarding billing insurance questions and other patient service activities.
- Process accounts according to the action required to resolve account balances.
- Comfortable communicating with any caller including customers, agencies, facilities, and hospitals.
- Employ one-step resolution practices for clients and patients through open lines of communication.
- Research patient accounts to verify all health insurance coverages. Audit patient accounts to verify proper billing process was followed.
- Screen and professionally address emails, faxes, and other correspondence including mail.
- Ensure accuracy in data entry and consistent attention to detail.
- Collect outstanding balances as well as identify, address, and resolve account discrepancies while following company policy and procedures as well as billing policies and procedures.
- Demonstrates knowledge and compliance of insurance, local, state, and federal billing.
- Ability to complete tasks efficiently both individually and in a group environment.
- Handle assigned correspondence fulfilling any other duties as assigned by managerial staff.
- Must be able to scan and input information from hospital faxes to update accounts to be billed.
- Must be able to bill insurance by paper claims and follow all guidelines by individual payors.
- Must be able to review patient mail and attach documents to patient accounts with all verifiable information.
Qualifications
- College preferred but not required.
- Fluent in Spanish preferred (medical and financial terminology required)
- Minimum two years' experience in customer care, account management or similar role.
- Ability to read and understand the Explanation of Benefits or Electronic Remittance Advice.
- Understands the difference between rejections and denials as well as working accounts.
- Healthcare knowledge is preferred.
- Must be a quick learner and motivated individual with excellent verbal communications skills.
- Fluency in second language is a plus, Spanish preferred.
- Ability to "Multi-task" and manage spurs of high call volume
- Positive, can-do attitude and with good judgement demonstrating ability to de-escalate
- Ability to receive and implement feedback.
Computer and Office Qualifications of the EMS Patient Account Representative
- Computer literacy is a must; Typing skillset of at least 45 WPM minimum
- Experience working in an active office environment.
- Must be able to work with 2 monitors and split screens to operate multiple sites simultaneously.
- Must be able to sit / stand for 8 hours minimum in an office environment
- Must be able to use Word, Excel, Email, Chat Applications, workflow sites and other software applications.
- Must be able to read, comprehend, and apply job-related rules, policies, and procedures.
Paramedic Billing Services, is an equal opportunity...
Equal Opportunity Employer - minorities/females/veterans/individuals with disabilities/sexual orientation/gender identity
