DescriptionThe Patient Account Representative maintains follow-up and collection activity including letters, telephone and personal contact. Maintains patient financial file and documentation, advises, informs and assists the patient/guarantor/family in regard to hospital financial policies. Performs other various clerical responsibilities as may be assigned. Identification of problem or un-collectible accounts required.
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/Manager of all benefit eligibility matters that suggest or challenge reimbursement.
QualificationsSkillsPreferred
Computer - Excel: Novice
Written Communication: Novice
Problem Solving: Novice
Oral Communication: Novice
Communication: Novice
Attention to Detail: Novice
BehaviorsPreferred
Enthusiastic: Shows intense and eager enjoyment and interest
Team Player: Works well as a member of a group
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
EducationRequired
Associates or better in Business
ExperienceRequired
Psychiatric experience preferred.
