The Patient Representative communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Being a Patient Representative working with multi-disciplinary teams may make recommendations for improvements to the patient experience. Explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. In addition, Patient Representative may participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. Being a Patient Representative works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Working as a Patient Representative typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification.
Acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. Working with multi-disciplinary teams may make recommendations for improvements to the patient experience. May participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Typically requires 3-5 years of related experience.
Responsible for the administration of patient accounts and ensures record keeping practices comply with industry regulations and operational standards. Updates accounts to capture patient services, apply appropriate adjustments, and verify proper payment amounts. Identifies payment sources and insurance policies and submits claims and required documentation to the appropriate third-party payers. Researches and resolves patient inquiries involving account charges, insurance payments, and balances. Produces account summaries detailing total charges for services, payments received and adjustments made, account balance, and payment due date. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience.
The Patient Accounting Representative updates accounts to capture patient services, apply appropriate adjustments, and verify proper payment amounts. Responsible for the administration of patient accounts and ensures record keeping practices comply with industry regulations and operational standards. Being a Patient Accounting Representative researches and resolves patient inquiries involving account charges, insurance payments, and balances. Identifies payment sources and insurance policies and submits claims and required documentation to the appropriate third-party payers. In addition, Patient Accounting Representative produces account summaries detailing total charges for services, payments received and adjustments made, account balance, and payment due date. Requires a high school diploma. Typically reports to a supervisor. Being a Patient Accounting Representative works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Working as a Patient Accounting Representative typically requires 1-3 years of related experience.
The Patient Claims Representative reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Organizes inpatient and outpatient claims for electronic or hard copy mail and forwards to appropriate third party payers. Being a Patient Claims Representative typically reports to a supervisor or manager. Requires a high school diploma or its equivalent. Working as a Patient Claims Representative typically requires 1-3 years of related experience. May be entry level if some experience in the skill. Gains or has attained full proficiency in a specific area of discipline. Works under moderate supervision.