Patient Accounts Representative

About Nimble Solutions

Join a rapidly growing organization renowned for delivering innovative revenue cycle management services to ambulatory surgery centers, surgical clinics, hospitals, and anesthesia groups. Nimble Solutions utilizes technology-driven approaches to ease administrative workloads and improve financial performance for over 1,100 surgical organizations.

Key Responsibilities

• Provide precise and prompt cost estimates for planned medical procedures by analyzing patient insurance details, benefits, and past data.
• Verify insurance eligibility and coverage across Medicare, Medicaid, and commercial plans to determine financial obligations.
• Prepare and submit prior authorizations accurately, considering insurance and medical data.
• Engage directly with patients to explain anticipated financial responsibilities and discuss payment or counseling options.
• Obtain and verify pre-certifications and authorizations with thorough documentation.
• Utilize multiple systems including practice management software to research patient inquiries accurately.
• Maintain HIPAA compliance during all patient communications including calls.
• Process patient payments received via phone and update account records accordingly.
• Escalate complex issues to supervisors or management for resolution.
• Ensure adherence to client-specific protocols throughout patient billing cycles.
• Respond to and follow up on all requests in a timely and professional manner.

Qualifications and Personal Attributes

• Possession of a High School Diploma or its equivalent.
• Reliable means of transportation.
• Strong customer service skills demonstrated through professionalism and responsiveness.
• Strict adherence to patient confidentiality policies.
• Detail-oriented with capacity for careful data management.
• Basic proficiency with computers, particularly Microsoft Excel.
• Excellent organizational and time management abilities.
• Effective written and oral communication skills.

Work Schedule and Location

• Standard 8-hour work shifts.
• Workweek from Monday to Friday.
• Remote work offered; hybrid arrangement possible for candidates living within 30 miles of Chesterfield office.

Employee Benefits

• Comprehensive Medical, Dental, and Vision insurance plans.
• Paid Time Off including 3 weeks annually and 9 company-paid holidays such as the day after Thanksgiving and Christmas Eve.
• 401(k) retirement plan with company matching contributions.