Patient Account Representative

Job Description

Job Description

Salary : Business Office :

Patient Account Representative

Essential Functions :

1) Responsible for taking incoming patient calls regarding patient's account

2) Responsible for working daily claim edits on new claims in EDI claim scrubber

3) Responsible for educating patients on financial policies and screening patients for charity or other funding

4) Completing financial applications within 30 days of receipt from the patient

5) Ensuring that patients pay their accounts per the hospital policy - 12 months interest free or the Commerce Loan Program

6) Review accounts ready for agency placement and transfer to appropriate collection agency after completion of statement cycle

7) Review and post adjustments as requested by AR vendor weekly

8) Review probate listings weekly and take action to file with estate or write off to presumptive charity if there is not an estate

9) Return messages and emails by end of each day

10) Covers the cash window every 4 days. Take patient payments for walk in patients and cafeteria deposits and appropriately close out drawer and deposit each day when working the cash window. 11) Update collection agency when patient makes a direct payment to the facility

12) Maintains Medicare Cost report for Charity write offs monthly and files in shared drive

13) Reviews and resolves assigned credit balances

14) Works assigned claim edits and proration edits daily

15) Performs other duties as assigned.

Qualifications :

Knowledge, Skills, and Abilities :

Ability to read, spell and write clearly. Accurate typing, filing and calculating skills. Skills in performing Excel and Word functions. Communication and computer skills.

Education :

High School graduate with accounting courses.

Experience :

Experience in working with the public, preferably in the medical environment. Knowledge of the Fair Debt Collection Act. Experience in office procedures, preferably in the medical environment.

Certification / Licensure :

None.

Code Blue Training :

Ability to activate Code Blue system by dialing 200.

Physical Demands :

May require constant sitting, Requires occasional standing and walking. Occasionally lifts and carries up to 30 lbs. May require pushing and pulling up to 30 lbs. Eye-hand coordination, and finger and manual dexterity are required. Requires corrected hearing and vision to normal range. Requires working under stressful conditions. Some exposure to communicable diseases and hazardous materials is required. Requires occasional bending, twisting, climbing, balancing, stooping and kneeling. Occasional reaching and overhead work are required. Requires occasional grasping. Requires the ability to distinguish letters or symbols. Ability to use office equipment such as computer terminal (PC), typewriter, telephone, copier, and fax machine.

Working Conditions :

Primarily Monday thru Friday on a scheduled shift. Weekend work and overtime may be required.