Patient Account Rep

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. Above all, it means exceptional care, simply delivered—and we couldn’t do it without you.

About the Role

The Patient Account Representative is responsible for managing all aspects of accounts receivables to ensure maximum and timely reimbursement for services performed for hospital billing and claims. This role will keep current on all payer-specific regulations and procedures and provide written summaries of findings and recommendations. The position is customer-focused with an emphasis on accounts receivable management.

The Patient Account Representative is required to follow established guidelines and take action to recover delinquent accounts with payers. They will place calls to payers to collect and assist in maintaining Network A/R days. Follow-up may be performed via payer websites when appropriate. This position allows the flexibility to work from home upon completion of the initial training period.

Responsibilities

• Adhere to all network and departmental procedures and policies
• Comply with applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and government health plans
• Document all actions taken on accounts in the system account notes to ensure all prior actions are noted and understandable by others
• Ensure confidentiality of patient records
• Follow appropriate steps to resolve denials within a specified timeframe
• Resolve insurance correspondence scanned into mail queues
• Follow billing and collection procedures as outlined in policies and provide payers with the appropriate and necessary information to adjudicate claims
• Maintain A/R to meet Network-set goals
• Meet productivity and QA standards designated by the department
• Monitor the billing and follow-up holds at all sources, ensure timely resolution, and keep assigned tasks current
• Participate in monthly conference calls with specific payers

Requirements

• Two or more years of experience in revenue cycle healthcare within a medium to large healthcare system
• Must be knowledgeable regarding payer billing guidelines
• High School Diploma or GED required

Benefits

At Community Health Network, we build teams that deliver exceptional care through empathy, communication, and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers.