Full-Time Patient Account Representative

Responsibilities

• 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
• 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 understand appropriate course of action to take and initiate time-sensitive and strategic steps resulting in payment
• Auxiliary work includes assisting financial counselors as needed
• Alert Financial Counselors and Business Office Director of all benefit eligibility matters that suggest or challenge reimbursement

Requirements

• High school diploma or equivalent required
• Three or more years’ prior admissions and/or collections experience in a hospital setting required
• Psychiatric experience preferred