Patient Account Representative

Patient Account Representative / Financial Counselor

Financially counsel patients on the units

Verify patient's insurance

Determine each patient's co-pay, co-insurance and deductible

Qualify patients for Financial Assistance

Call patients to collect balances due

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. Needs to 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 understands appropriate course of action to take and initiates 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

Perform other functions and tasks as assigned

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