Patient Account Representative

Love solving puzzles, staying organized, and making things happen? Join the team at CenterPointe Hospital of Columbia and play a key role in helping patients access the care they need by ensuring insurance claims are resolved quickly and accurately.

Responsibilities

• Follow up on insurance claims and work through denials
• Review EOBs and payment activity for accuracy
• Correct and rebill claims through clearinghouses as needed
• Manage a daily account workload and keep claims moving
• Problem-solve billing issues and identify opportunities for resolution
• Maintain accurate account documentation and updates
• Call about status of outstanding claims with third party payors
• Review claims issues, make corrections as needed, and rebill
• Utilize claims clearinghouse 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; initiate 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

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
• 3+ years of hospital billing, collections, or revenue cycle experience preferred
• Strong attention to detail and organizational skills
• A knack for investigating issues and finding solutions
• Ability to thrive in a fast-paced environment and manage priorities independently

About the Role

In this role, you'll work behind the scenes to keep revenue flowing, tackle claim denials, investigate billing issues, and collaborate with payers to get accounts across the finish line. Your work directly supports our mission by helping patients receive the care they need without unnecessary financial barriers.

Why CenterPointe?

At CenterPointe Hospital of Columbia, you'll join a supportive team focused on making a difference in the lives of adolescents, adults, and seniors facing mental health and addiction challenges. We value collaboration, accountability, and purpose.