Patient Account Representative

Responsibilities

Call and status outstanding claims with third party payors.

• Review claims issues and make corrections as needed and rebill.

• Utilize claims clearing house to review and correct claims. Resubmit electronically when available.

• Review explanation of benefits to ascertain that claim processed and paid correctly.

• Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation.

• Manage daily productivity via patient accounting system and productivity reports. Needs to maintain an average of 30-40 accounts worked per day minimum.

• Prorate patient accounts and monitor that balance due is in the correct financial class.

• Report an overview of the week to the BOD and participate in AR meetings.

• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

• Assist financial counselors as needed.

• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement.

Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.

• Three or more years' prior admissions and or collections experience in a hospital setting required.

• Psychiatric experience preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Not applicable

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.