Patient Account Representative

ESSENTIAL FUNCTIONS:

• Call and status outstanding claims with third party payors.
• Review claims issues, 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.
• Managed 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.
• Weekly reporting to the BOD an overview of the week and participate in AR meetings.
• Gathers and interprets 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.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• High school diploma or equivalent required.
• Three or more years' admissions and/or collections experience in a hospital setting required.
• Extensive knowledge and understanding of Commercial Insurance required.
• Microsoft Excel experience and knowledge of creating and maintaining spreadsheets, claim status & collections.

Job Type: Full-time

Salary: From $19.00 per hour

 

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

8 hour shift

Education:

High school or equivalent (Required)

Work Location: In person