Cone Health

Not-for-profit healthcare network delivering hospital care

Patient Account Representative

Clinical Support & Patient AdministrationPosted on Nov 5

Full-timeUnited StatesNo salary listedIn-person

About the Job

Requirements

A high school diploma or equivalent is required.
Three years of experience are required.

Responsibilities

Coordinate insurance verification, authorization, and patient payment responsibility.
Verify accounts within two business days of evaluation or the day before the first treatment visit, and secure pre-authorizations according to timely filing requirements.
Document verification, authorization, and patient payment responsibility information on all accounts, with accurate and timely documentation in the computer information system and patient chart as required by each payor.
Identify cases with less than adequate coverage.
Assist with patient billing concerns and refer patients to financial counseling when unable to assist.
Identify available coverage and payment options and communicate this information to patients.
Analyze account information, notes, dates of service, and chart information, then take appropriate action according to payor requirements to ensure reimbursement.
Contact payors, referral sources, and third parties, and follow up to identify and resolve reimbursement issues.
Perform other duties as assigned.

Administrative Support

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

The Patient Account Representative explains and comprehends a patient's EOB (Explanation of Benefits). Working under general supervision, this role is responsible for collecting, and posting payments to a patient’s bill. This role anticipates and acts on the needs of customers to enhance the patient experience.

Essential Job Function:

Coordinates insurance verification, authorization and patient payment responsibility.
Verifies accounts within two business days from evaluation or day prior to first treatment visit and secure pre-authorizations according to timely filing requirements.
Documents verification, authorization and patient payment responsibility information on all accounts and completes accurate and timely documentation as required by each payor in the computer information system and in the patient chart.
Identifies cases with less than adequate coverage.
Assists with patient billing concerns and directs to financial counseling if unable to assist.
Identifies coverage and payment options available and communicates information to patient.
Analyzes account information notes, dates of service, chart information and takes appropriate actions according to payor requirements in order to ensure reimbursement.
Initiates contact with payor, referral source, third party and follow up with identifying and resolving reimbursement issues.
Performs other duties as assigned.

Education:

Required: High School Diploma or equivalent.

Experience:

Required: 3 years

Licensure/Certification/Listing:

Work Shift :

Days/No Weekends (United States of America)

On Call Required

FTE:

Job Type:

Full Time (40 Hours/Week)

About the Company

Cone Health

Not-for-profit healthcare network delivering hospital care

Cone Health is a not-for-profit healthcare network that serves communities in Alamance, Forsyth, Guilford, Randolph, Rockingham, and surrounding counties by operating hospitals, primary and specialty care clinics, and centers for heart and vascular care, cancer treatment, women’s and children’s health, and advanced imaging. Its services are delivered through a system of hospitals, clinics, and the Cone Health Medical Group and Triad HealthCare Network, with revenue coming from patient services, insurance reimbursements, and government programs. The network differentiates itself by emphasizing community care and serving underserved populations, supported by a large staff, physician partners, and volunteers, and it holds recognized workplace culture awards. The goal is to provide high-quality, accessible healthcare and improve health outcomes across its diverse service areas.

Company size: 5,001-10,000
Company stage: Seed
Total funding: $100K
Headquarters: Greensboro, NC
Founded: 1953

Recently Posted Jobs

Explore more opportunities at Cone Health

See more jobs