Patient Account Representative

Description

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.

OTHER FUNCTIONS :

• Perform other functions and tasks as assigned.

Qualifications

Skills

Required

Written Communication : Advanced

Problem Solving : Intermediate

Planning & Organizing : Intermediate

Oral Communication : Advanced

Customer Focus : Intermediate

Financial Awareness : Intermediate

Computer - Word : Intermediate

Computer - Excel : Intermediate

Communication : Advanced

Attention to Detail : Advanced

Behaviors

Required

Team Player : Works well as a member of a group

Loyal : Shows firm and constant support to a cause

Detail Oriented : Capable of carrying out a given task with all details necessary to get the task done well

Dedicated : Devoted to a task or purpose with loyalty or integrity

Motivations

Preferred

Flexibility : Inspired to perform well when granted the ability to set your own schedule and goals

Goal Completion : Inspired to perform well by the completion of tasks

Financial : Inspired to perform well by monetary reimbursement

Education

Required

Experience

Required

Preferred

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities

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