Jobs · Healthcare · Michigan

Part Time Patient Account Representative

NeuroPsychiatric Hospitals · Kalamazoo, MI · 2 wk ago
HealthcarePart-time

NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it’s needed most. With locations in Indiana, Michigan, Texas, and Arizona, we’re expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day.

About the role

The Patient Account Representative will coordinate third-party billing and the application of payments for the hospital system. The position requires extensive contact with Clinical staff, HIM staff, and other Hospital personnel, as well as frequent contact with patients and/or their representatives concerning patient accounts. Routine contact with insurance carriers, local companies, physicians’ offices, and periodic contact with other hospital departments and collection agencies is also necessary.

Responsibilities

  • Performs pre-admitting activities such as screening insurance information to identify patients requiring preadmission approval from third-party payors and verifying that approval has been obtained.
  • Explains hospital policies and answers patient inquiries.
  • Notifies insurance companies on a daily basis of the admission of their subscribers and logs notifications made.
  • Coordinates the insurance billing function of the hospital system and the proper application of patient, insurance, and other payments.
  • Performs Billing Clerk and Cashier duties as needed.
  • Coordinates and performs insurance follow-up procedures.
  • Prepares weekly and monthly reports on third-party billings, accounts pending diagnosis, and late charges.
  • Ensures hospital records for patients include all information required for reimbursement and verifies correct coding to ensure prompt payment.
  • Inputs correct billing information and transmits electronically to all insurance carriers; prepares and sends out paper claims as needed.
  • Prepares and provides itemized statements as requested by insurance companies, patients, and their representatives.
  • Makes adjustments to hospital bills subsequent to approval of CFO.
  • Prepares weekly and monthly reports of billing for the Chief Financial Officer as directed.
  • Floats to other departments and facilities as assigned and directed.
  • Maintains a professional approach with confidentiality, ensuring protection and privacy of health information.
  • Displays concern, initiative, and resourcefulness; remains calm in emergencies.
  • Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors.
  • Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital policies that apply to assigned duties.
  • Complies with hospital expectations regarding ethical behavior, standards of conduct, and protected health information and patient privacy.
  • Understands and adheres to NPH’s compliance standards as they appear in NPH’s Corporate Compliance Policy, Code of Conduct, and Conflict of Interest Policy.
  • Keeps abreast of all pertinent federal, state, and hospital regulations, laws, and policies as they presently exist and as they change or are modified.

Qualifications

  • High School Diploma or GED required; Associate's degree in business, finance, or healthcare administration field preferred.
  • Minimum of 1 year of hospital business office experience in billing and collections required; 3 years of experience preferred.
  • Familiarity with insurance verification, claims follow-up, and patient account management highly desirable.
  • Goal-driven and able to work in a fast-paced environment.
  • Strong verbal and written communication skills.
  • Excellent organization skills and attention to detail.
  • Proven experience billing and collecting for commercial, Medicare, Medicaid, and patient payers.
  • Effective claim follow-up and appeals process.
  • Proficient in MS Word and Excel, with familiarity of billing software.

Benefits

  • Competitive pay rates.
  • Medical, Dental, and Vision Insurance.
  • NPH 401(k) plan with up to 4% Company match.
  • Employee Assistance Program (EAP).
  • Generous PTO and Time Off Policy.
  • Special tuition offers through Capella University.
  • Work/life balance with great professional growth opportunities.
  • Employee Discounts through LifeMart.

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