Physician Patient Account Rep

JobID: 50921Job Title: Physician Patient Account RepresentativeLocation: Lilburn, GAJob Type: Full-TimeDepartment: Billing & CollectionsDuration: Contract to permanent role Reports To: Billing Supervisor / Practice ManagerJob Summary:The Physician Patient Account Representative at our OBGYN clinic is responsible for managing the financial lifecycle of patient accounts, with a strong emphasis on physician collections, patient billing inquiries, insurance claims follow-up, and payment arrangement coordination. This role is essential to ensuring accurate billing, timely collections, and a positive financial experience for patients.Key Responsibilities:Physician Collections & Accounts Receivable: Monitor and manage physician A/R to ensure timely collections and minimize aged receivables. Perform daily reviews of outstanding patient balances and follow up to resolve unpaid claims and balances. Initiate collection efforts on overdue accounts, including insurance re-submissions and direct patient outreach. Document all collection activities clearly and accurately in patient accounts.Patient Communication & Payment Arrangements: Communicate with patients over the phone and in person regarding billing statements, account balances, insurance denials, and explanation of benefits (EOBs). Provide clear and empathetic explanations of charges, insurance payments, and patient responsibilities. Set up and manage payment arrangements with patients in compliance with clinic policies. Educate patients on available payment options, financial assistance, and insurance coverage when applicable.Insurance Claims & Reprocessing: Verify patient insurance eligibility, benefits, and authorizations prior to appointments or procedures. Submit and re-submit claims through payer portals and clearinghouses, ensuring accurate coding and billing information. Work with insurance companies to resolve claim denials, underpayments, or missing information. Follow up with insurance carriers via phone or online portals to check the status of outstanding claims.System Management & Documentation: Maintain up-to-date and accurate patient account information within the EMR and billing systems. Use online payer portals and internal billing software to track claims, upload documentation, and manage appeals. Generate routine reports on collections, aging accounts, and claims status to support department goals.Collaboration & Compliance: Coordinate with front office staff, medical assistants, and providers to ensure accurate encounter documentation and coding. Assist with training or cross-coverage support as needed in the billing office. Maintain strict adherence to HIPAA regulations and confidentiality requirements in all patient and billing interactions. Qualifications: Education: High school diploma or GED required; Associate degree or medical billing/coding certification preferred. Experience: At least 2-3 years of physician billing and collections experience, preferably in an OBGYN or women's health setting. Strong working knowledge of CPT, ICD-10, and HCPCS codes. Proficient with insurance portals (e.g., Availity, payer-specific sites) and billing software (Athenahealth, eClinicalWorks, etc.). Skills: Excellent verbal and written communication skills. Strong attention to detail and organizational skills. Ability to handle sensitive financial conversations with professionalism and empathy. Self-motivated with the ability to work independently and in a team setting.