CLIENT ACCOUNT REPRESENTATIVE

Job Description

Job Description

Description:

Description

Who We Are

Pawnee Mental Health is proud of the high-quality services we offer and the positive outcomes our clients achieve. Our employees are the heart of our organization, and each person contributes to our mission. We’re looking for motivated, passionate individuals who want to use their skills to support others. We believe people facing mental health or substance use challenges deserve the chance to live meaningful, productive lives. If that mission resonates with you, we encourage you to explore this role and join us in making an impact.

What We Offer at Pawnee Mental Health, we are committed to supporting our employees’ well-being by offering a comprehensive and competitive benefits package, including:

• HRSA- Health Workforce: Loan Repayment Program for Health Careers
• Continuing Education: Pawnee provides up to 5 days of additional paid leave for continuing education and a fund of up to $1,000 annually.
• Medical & Vision Insurance: Accessible plans to support your health needs offered through BCBS or Aetna.
• Dental Insurance : 100% covered by Pawnee for employees.
• Kansas Public Employee Retirement System (KPERS): Secure your future with KPERS retirement benefits, a lifetime pension program.
• Life Insurance: coverage up to 150% of your annual income and long-term disability insurance at no cost.
• Paid Holidays: Enjoy 8 paid holidays throughout the year.
• Generous PTO: Start earning 10 hours of PTO per month—equivalent to 15 days per year—with an increase to 24 days per year after your first anniversary.
• Paid Medical Leave: Receive a 40-hour bank of paid medical leave.
• Employee Assistance Program (EAP): Access support resources for your personal and professional life.
• Supplemental Benefits: Additional life insurance coverage, ambulance transportation, short term disability, critical illness, hospital indemnity, and more.

Position Description:

Job Title : Client Account Representative

Department : Finance

Supervisory Chain of Command :

• Direct Supervisor: Client Account Representative Team Lead
• Tertiary Supervisor: Client Account Manager
• Chief-Level Supervisor: Chief Financial Officer

Oversees about 1900 client accounts, covering a wide range of insurance providers and client financial situations. Responsible for preparing monthly reports on the accounts, coordinating Explanation of Benefits paperwork, and following up with insurance agencies and internal Pawnee staff to ensure proper billing of services.

Responsibilities and Qualifications

Essential Responsibilities :

• Retrieve Explanation of Benefits (EOB) from electronic shared file and apply outcomes to client accounts within 5 days of receipt by agency.
• Research and answer client and payer source inquiries. Provide supporting documentation as allowed by privacy regulations upon request.
• Follow–up on unpaid insurance claims in a timely manner until claim is paid or only self-pay balance remains.
• Follow agency collection procedures for mailing statements.
• Work the aging of accounts report.
• Present problem/delinquent accounts to supervisor as needed.
• Remain knowledgeable regarding billing procedures and regulations for payers.
• Attend staff meetings and provide constructive input.
• Maintain and advance knowledge and skills related to field of work through regular review of pertinent materials and attendance at training events.
• Adhere to the standards, policies and instructions established by PMHS Policy and Procedure and any applicable ethical codes within field of employment.
• Review and comply with the Pawnee Code of Conduct outlined in the Employee Handbook.

Special Billing Only

• Process progress notes into claims and fix all corresponding errors.
• Submit accurate and timely claims to special billing insurance carriers either electronically or by hard copy billing.
• Generate and review a duplicate claims report to ensure multiple services provided in a day are incorporated into a single claim. Correct errors before claims are submitted.
• Create weekly missing note reports and send to appropriate staff. Respond to questions and concerns in a timely manner.
• Verify insurance and update client records as necessary.

Qualifications :

Required :

• High School diploma or equivalent.
• 1 year of medical office billing or comparable administrative experience.
• Experience with Microsoft Office Software.
• Strong oral and written communication skills using the English language.
• Ability to operate and assist with maintaining office equipment such as a postage machine, copier/scanner/fax machine, and folding machine.

Preferred :

• Extensive experience with Microsoft Office Software.
• Experience with Microsoft Excel.
• Strong organizational skills.

All employees will be required to submit to and pass a background check and drug screening.