[Remote] Patient Account Representative

Note: The job is a remote job and is open to candidates in USA. SDS Medical Supplies is a company focused on providing quality medical supplies and services. They are seeking a Patient Account Representative responsible for verifying insurance coverage, managing patient accounts, and ensuring accurate claims submission to insurance providers.

Responsibilities

• Report any misconduct, suspicious or unethical activities to the Compliance Officer
• Represent the company in a professional and courteous manner in all interactions with patients
• Pursue development of new business with potential referral sources and patients
• Verify patient insurance eligibility and benefits to ensure accurate coverage information prior to service
• Obtain and track insurance pre-authorizations in a timely manner
• Explain benefits and out-of-pocket costs to patients, including co-pays, deductibles, and coverage limits
• Collect co-pays and process patient payments while maintaining accurate account records
• Submit clean and compliant claims to insurance carriers and follow up on claim status as needed using our billing system
• Maintain and update patient accounts with detailed and accurate documentation
• Communicate effectively with patients, providers, and insurance companies regarding account status and requirements
• Receive ongoing training and demonstrate a strong understanding of the company’s billing system to ensure accurate data entry, claim submission, and account management
• Stay up to date with insurance guidelines, payer policies, and company procedures to maintain compliance and efficiency
• Participate in company committees when requested
• Participate in in-service education programs provided by the company
• Pursue continuing education programs appropriate to job responsibilities
• Perform other duties as assigned by supervisor

Skills

• Organizational skills sufficient to maintain consistently accurate records
• Ability to evaluate options and to make efficient decisions
• Computer skills that include proficiency with spreadsheets and use of the internet, as well as word processing, and efficient use of the internet and e-mail

Benefits

• Paid Holidays
• Strong bonus potential

Company Overview