Patient Account Representative

Patient Account Representative

NeuroPsychiatric Hospitals is looking for a Patient Account Representative at our Phoenix location. NPH is the national leader in providing medical and neurobehavioral care to patients in acute psychiatric distress. You will be joining a team of rock star staff who provide exceptional, patient-centered care and understand our patients are always our number one priority! The Patient Account Representative will coordinate third-party billing and the application of payments for the hospital system.

The position requires extensive contact with Clinical staff, HIM staff and other Hospital personnel and frequent contact with patients and/or their representatives concerning patient accounts. Routine contact with insurance carriers, local companies, and physicians' office and periodic contact with other hospital departments and collection agencies is also necessary. Records necessary personal information, secures required signatures, prepares and supplies patient data to various hospital departments. To process and follow up on all billing, review remittance advice forms to verify proper reimbursement, and to make adjustments as necessary.

Benefits of joining NPH as a Patient Account Representative

• Competitive pay rates
• Medical, Dental, and Vision Insurance
• NPH 401(k) plan with up to 4% Company match
• Employee Assistance Program (EAP) Programs
• Generous PTO and Time Off Policy
• Special tuition offers through Capella University
• Work/life balance with great professional growth opportunities
• Employee Discounts through LifeMart

Responsibilities

• Performs such pre-admitting activities as:
  • Screening insurance information to identify patients requiring preadmission approval from third-party payors; verifying that approval has been obtained
  • Explaining hospital policies and answering patient inquiries.
• Notifies certain insurance companies on daily basis of the admission of their subscribers, and logs notification made.
• Coordinates the insurance billing function of the hospital system.
• Coordinates the proper application of patient, insurance, and other payments for the hospital system.
• Performs Billing Clerk and Cashier duties as needed.
• Coordinates and performs insurance follow-up procedures.
• Prepares weekly and monthly reports on third-party billings, accounts pending diagnosis, and late charges.
• Checks to ensure that hospital records for patients include all information required for reimbursement.
• Verifies correct coding to ensure prompt payment.
• Inputs correct billing information and transmits electronically to all insurance carriers.
• Prepares and sends out paper claims as needed.
• Prepares and provides itemized statements as requested by insurance companies, patients, and their representatives.
• Makes adjustments to hospital bills subsequent to approval of CFO.
• Prepares weekly and monthly reports of billing for the Chief Financial Officer as directed.
• Floats to other departments and facilities as assigned and directed.
• Maintains a professional approach with confidentiality. Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
• Displays concern and initiative. Is resourceful and calm in emergencies.
• Is prompt and efficient with minimal absences.
• Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.
• Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital policies that apply to assigned duties.
• Complies with hospital expectations regarding ethical behavior and standards of conduct.
• Complies with federal and hospital requirements in the areas of protected health information and patient privacy.
• Understands and adheres to NPH's compliance standards as they appear in NPH's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy
• Keeps abreast of all pertinent federal, state and hospital regulations, laws and policies as they presently exist and as they change or are modified.

Qualifications

• High School Diploma or GED required. Associate's degree in business, finance, or healthcare administration field preferred.
• Minimum of 1 year of hospital business office experience in billing and collections required. 3 years of experience preferred.
• Familiarity with insurance verification, claims follow-up, and patient account management highly desirable.
• Goal driven and must be able to work in a fast paced environment.
• Must have strong verbal and written communication skills.
• Excellent organization skills and attention to detail. Proven experience billing and collecting for commercial, Medicare, Medicaid and patient payers.
• Effective claim follow up and appeals process.
• Proficient in MS Word and Excel, with familiarity of billing software.