Patient Account Service Representative

Position Summary

Patient Account Service Representatives process claims, collect payments, and resolve questions and problems about patient account financial, clerical, and administrative support to dental office to ensure efficient, timely, and accurate patient billing and follow-up.

Utilizes conflict resolution and problem-solving techniques to handle patient billing inquiries and complaints.

Inputs and monitors electronic fund transfers, Medicaid, and other insurance-related matters.

Essential Functions

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily.

Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

• Provides financial, clerical, and administrative services to ensure efficient, timely, and accurate patient billing and follow-up in accordance with Dental Depot accounts receivable protocol.

• Provides quality customer service, utilizing conflict resolution and problem-solving techniques to manage patient inquiries and complaints. 

• Prepares weekly outstanding claims reports instead of bi-weekly.

• Presents copies of denials to PASR Manager instead of office manager.

• Initiates collection efforts.

Investigates and resolves patient billing inquiries.

• Inputs and monitors electronic fund transfers per insurance websites for all providers accepted by Dental Depot.

Enters patient and insurance data as needed.

Processes insurance adjustments.

Monitors and updates insurance and patient payment status.

• Communicates effectively, courteously, and professionally with clinical and administrative staff.

Communicates effectively, courteously, and accurately with patients inquiring about statements, billing, payments, etc.

• Prepares bi-weekly outstanding claims reports and work completely through outstanding claims.

Copies any denials and works to completion from electronic fund transfers or checks.

Present to Dental Office Manager for review.

• Audits patient accounts for billing errors or inconsistencies.

• Inputs into Eaglesoft insurance information and updates patient information.

Inputs and monitors all Medicaid claims through the Medicaid website. 

• Audit/Reconciles accounts receivables.

Verifies that insurance transactions comply with treatment performed.

• Assists in clearing the claims via the Claims X system and work the Daily Claim Report, daily.

• Closes out account’s receivables at the conclusion of each business day, as scheduled by the Office Manager.

• Completes assigned tasks in a timely manner.

• Maintains dependable job attendance by reporting to work on time and ready to work. 

• If needed: Greets patients in accordance with Dental Depot protocol.

Answers office phones in accordance with Dental Depot protocol.

Schedules patient appointments through the Eaglesoft system.

• Complies with: D...