Patient Account Representative, Remote at North Shore… · Gratens

At Gracent, helping children diagnosed with autism and other developmental needs is at the center of all we do. Our providers specialize in Applied Behavior Analysis (ABA), Physical Therapy, Speech Therapy, Occupational Therapy, Neuropsychology, and Mental Health services. We use evidence-based therapies, provide compassionate care, and pride ourselves on clinical excellence and innovation. The children we serve are at the center of what we do and are our #1 priority.

About the Role:

We are looking for a talented and driven Accounts Receivable Specialist to join our team. This position is primarily a full-time remote position Monday – Friday but will need to be willing to travel and attend job-related events in the Chicagoland area as needed.

As part of our Billing team, you will help us impact the lives of our kiddos by helping ensure Insurance claims are processed timely and appropriately- resolving patient inquiries with a strong focus on customer service, following up on accounts with payors/patients and ensuring, authorization and eligibility verification is timely. You will review account information and remittance advice to verify proper reimbursement and follow up on resolution of accounts with patients and payors. You will work to ensure proper processing and following-up with third party collections, payors and patient families as needed. Verifying that records include all information required for Third Party reimbursement. Consult with claims processors at Third Party Payer companies regarding disputes/denied claims for bills not processed within allowed claim period and follow up with patient families regarding outstanding payments. You will support other billing, authorization and eligibility related team projects as needed and will serve as a partner to our providers and billing teams to ensure timely appropriate billing and collections.

In this position, the Account Representative is expected to demonstrate outstanding customer service skills during every interaction. They will work closely with providers, payors and patients responding timely to inquiries in efforts to follow up on payments and resolve accounts.

Essential Functions:

• Answering phone and email billing inquiries- assisting patients with understanding of their accounts and supporting them in coordinating payment
• Reviewing explanation of benefits (EOBs) to ensure proper reimbursement of claims and reports any problems, issues, or payer/patient trends.
• Analyzing accounts and determining the next appropriate action for account resolution- including follow up with payors, offsite Billing vendor or patient.
• Identifying, resolving, and escalating trends to ensure timely payment.
• Confirm the requirements and data needed for approval of the authorization, obtain the required information from the service provider, and liaise with insurance companies for prior authorization approval as needed.
• Assist in additional billing/authorization related requests/projects as needed- a variety of duties including verifying accurate authorizations and referrals, confirm accurate eligibility information and timely follow up with payors, providers and patients as needed to resolve accounts.
• Collaborating with management to reduce aging of accounts through verbal and written communication.
• Assist patients who need treatment requiring insurance carrier pre-authorization.
• Working with Patients and teammates with the highest standards of customer service excellence.

You’re excited about this opportunity because…

• You have a passion to work for a company whose mission is to help children with developmental needs
• You are innovative and want to be part of change
• You care to listen deeply and communicate openly
• You take ownership, execute, and deliver on commitments
• You want the opportunity to grow with the company and have an impact from day 1

We’re excited about you because…

• You have a passion to work for a company whose mission is to help children with developmental needs
• You thrive working in a rapidly growing business with curiosity, humility, humor, and professionalism
• You are curious and want learn!
• You challenge the status quo - always thinking of new and better ways of doing things
• You are organized, can multi-task and pay close attention to detail.

Qualifications

• A self-starter that can initiate and perform tasks without continuous direction.
• High school or GED required.
• Three years physician billing and collections experience required.
• In depth knowledge of payer reimbursement policies and procedures
• Excellent communication and problem-solving skills
• Ability to work in a collaborative, team environment.
• Ability to be well organized, detail-oriented, in a fast-paced environment.
• Ability to think critically and identify the global impact across the revenue cycle with a solution-oriented approach.

Our benefits:

• Competitive Compensation: We offer a competitive salary along with a quarterly bonus plan.
• Health, Dental, and Vision Insurance: Traditional PPO, HSA, and HMO plans available to all full-time employees.
• 401(k) with Company Match: Pre- and post-tax 401(k) plans with up to 4% company match.
• Flexible Scheduling: Benefit from flexible scheduling and paid time off for full-time employees to achieve a healthy work-life balance.
• Team Building: Join a culture of collaboration and camaraderie. Participate in monthly social events with your team to build strong professional relationships.
• Teladoc Subscription and Calm App Membership: Prioritize your well-being with a Teladoc subscription (available day 1) and a Calm app membership, available for free to all employees and up to 5 friends/family.
• Open Communication and Involvement: We don't just encourage open communication; we empower it. Join one or more of our committees to get involved in organizational initiatives. Be a part of our Experience Team, DEI Committee, Brand Ambassadors, and more!

We understand that joining a team is not just about the role; it's about the people, the support, and the culture. Our interview process is carefully crafted to ensure you thoroughly understand who we are and the support system in place for your success. You'll discuss this role with multiple leaders in our organization and meet the incredible team you could be working with. We can't wait to get to know you!

Per hour

$22—$25 USD