Patient Account Rep II (26630)

Patient Account Rep II - Full-time
FULL BENEFITS PACKAGE

What's in it for you?

• Generous benefit plans that start the 1st of the month following your start date
• High Reliability Organization
• How we treat people in our organization, we are truly committed to patient safety and to our employees
• Additional options for dental, vision, life, and disability coverage.
• Retirement Plan-457(b)
• Hospital paid Life Insurance
• Employee Assistance Program
• Employee Discount at our onsite Starbucks, Café, and Gift Shop
• ATM onsite
• Fresh Vending
• Free on-site parking
• Colleague recognition program
• Time Away From Work Program (paid time off)

About Us:

Nacogdoches Memorial Hospital- Celebrating 90 years + of caring for our community and surrounding communities. Our outstanding team combines compassion and kindness with the latest technology and advanced treatments to deliver care. Services Include : Cardiac Services, FastTrack, ICU, Emergency Room, Incontinence Therapy, Medical Imaging, Nutrition Services, Physical rehabilitation, Stroke Action Plan and Surgery.

At Nacogdoches Memorial Hospital, we recognize and reward you for your contributions; we have a highly qualified, smart, and ambitious team making a difference in our patient's lives. Our culture of ownership and transparency empowers our team to achieve their goals. We have new transformative owners, for all those on board, it's going to be a challenging and a rewarding journey and we are just getting started.

Position Summary

Prepares all Hospital insurance claims following designated procedures established by each third party payer, i.e. commercial group, Blue Cross, Medicare, Medicaid, Workman's Compensation, Champus or private insurance. Responsible for systematic follow-up of insurance accounts from date insurance claims are billed to receipt of payments, conducts routine reviews to update patient's accounts to correct financial status. Serves as a source of assistance to patients who need help in preparing and submitting claims for personal reimbursement for accounts paid in full. Responsible for collection of personal portion of patient's charges for Hospital services in accordance with all State and Federal laws governing collection practices. Accurately posts cash transactions and maintain accurate Charge Master files. Correctly identifies and posts adjustments. Handles return checks in accordance with Hospital policy. Assists patients in the settlement of their account. Accurately researches accounts for credit balances prior to issuing a refund. Accurately maintains logs and reports as directed by the management.

Position Duties (Not all Inclusive)

• Bill patient's third party claims

1. Must work at least fifty (50) claims per day
2. 100% accuracy
3. Claims are mailed the same day they are received
4. Late charges are billed within forty-eight (48) hours of receipt

• Answer incoming calls and correspondence concerning insurance billing and initiate calls and correspondence when additional information is required to bill patient's insurance

1. Responds to written inquiries within forty-eight (48) hours of receipt
2. 100% effectiveness of telephone skills

• Contact insurance companies and patients to secure payments

1. Make at least fifty (50) attempted contacts per day
2. Complete documentation to ensure timeliness of follow-up calls
3. Use of lawful, professional and effective follow-up techniques to secure prompt payment

• Research and recommend appropriate adjustments for supervisor's approval

1. Compute accurately all accounts requiring a discount on a daily basis and prepare proper discount forms

OUR COMMUNITY

Nacogdoches, the oldest town in Texas and the official Garden Capital of Texas. Nacogdoches is home of the Texas Blueberry Festival . Nacogdoches is a 300-year-old city known as The Oldest Town in Texas. Its located in the heart of Deep East Texas almost equidistant between Dallas/Fort Worth, Houston and Shreveport, Louisiana. Nestled between three national forests and only a short drive from two of the largest lakes in Texas, Nacogdoches is home to Stephen F. Austin State University and has a population of 33,000. Also designated the Garden Capital of Texas, Nacogdoches is recognized for its natural beauty, creeks and trails Nacogdoches has long been a live music destination, and remains that today! Classic old venues make for great music, dancing and enjoying a night on the town. Take in livejazz poolside, dance at a local dance hall or simply relax and reconnect at a local wine bar.

• Must be able to read, write, and communicate effectively in English required.
• Knowledge of insurance claims/reimbursement procedures commercial, private, and governmental insurance programs.
• One year hospital insurance/billing/collections preferred.