Patient Accounts Representative, Full-Time, Day shift

About the role

Van Diest Medical Center, an award-winning Top 100 Critical Access Hospital and Top Workplaces Industry winner, is seeking a Patient Account Representative to perform all aspects of insurance claims processing and account follow up related to patient billing.

Responsibilities

• Files insurance claims timely, accurately, and appropriately
• Reviews accounts and ensures the accuracy and completeness of all claims
• Reviews daily reports on Inovalon Claims Administrator
• Reviews Work Queues daily
• Reviews late charge reports and files necessary adjustments
• Reviews report for accounts that need to be linked
• Downloads and transmits electronic claims daily; submits paper claim only when unable to send electronically
• Follows up insurance claims within an appropriate time period
• Responds to denials and correspondence daily
• Works accounts in Work Queues and reviews ATB reports daily; contacts patients or insurance companies and refiles claims when necessary
• Contacts Financial Counselor to reset statement sequence and to consolidate accounts
• Refers accounts to the supervisor when there are issues you cannot resolve
• Participates in all quality assurance activities, documentation, data collection and other training as requested
• Assists patients with account questions
• Accepts patient payments and provides proper receipts and documentation for cash
• Refers disruptive persons to the Patient Accounts Manager
• Answers the telephone professionally, courteously, and efficiently directs call to the appropriate person
• Utilizes computer hardware and software or other computer-based equipment in performing most essential functions of the job
• Works to maximize office efficiency
• Maintains organized and neat work area
• Maintains current level of knowledge and skill related to education, tools, and equipment
• Participates on various Hospital committees when assigned and completes assignments within given time
• Abides by the Standards of Conduct
• Follows all infection control, safety and general hospital policies
• Submits all follow up paperwork to human resources, employee health and all other departments as requested in the time allowed
• Completes all required competencies
• Meets all intellectual and emotional requirements, including:
  • Demonstrates ability to make generalizations, evaluations or decisions based on sensory or judgmental criteria
  • Demonstrates ability to make generalizations, evaluations or decisions based on measurable or verifiable criteria
  • Accepts responsibility for the direction, control, or planning of an activity by completing assignments within the given time
  • Demonstrates the ability to perform repetitive work or perform continuously the same work according to set procedures, sequence or pace
  • Can maintain proper perspective between personal and professional affairs
• Perform other duties as assigned

Schedule

Full-time at 40 hours per week, Monday - Friday.

Requirements

• Must be able to speak, hear, understand, and write the English language
• Must be able to display strong customer service skills and ability to maintain a high level of alertness
• Must have computerized data entry experience
• Ability to effectively interact with co-workers and public
• Previous insurance billing experience preferred
• Detail oriented, with aptitude for math and problem solving skills
• Must be able to follow all physical requirements

Contact

Apply online at www.vandiestmc.org under "Careers" link. Questions? Please contact Human Resources at (515) 832-7711.