Account Representative Patient Accounts Full Time

Account Representative

Cost Center 923 Patient Accounts Scheduled Weekly Hours 40 Work Shift First Shift (United States of America) Shift & Status

We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral health system in the country, our 220-acre main campus, and our network of clinical sites across Michigan. We are a tight-knit community of healers who witness the impact of our life-changing work each day. Each day, we are closing the gaps in access to care. We are innovating through leading-edge research, testing, programs, and treatment modalities that others replicate across the country. Our services include a state-of-the-art psychiatric urgent care center and a soon-to-be-built pediatric behavioral health center, outpatient, inpatient, partial hospitalization (day programs), assessment and testing, residential, addiction treatment and specialty services such as crisis response, employee assistance programs, forensic psychiatry and psychology, and neuromodulation. On-the-job educational programs for nurses, psychologists, advanced practice providers, psychiatrists, and chaplains are equipping the next generation of care providers. We are passionate about serving and are honored to be a part of this incredible work.

What Will You Do?

As an Account Representative at Pine Rest, you'll be part of a tight-knit team that believes in the healing power of your expertise and compassion. According to general directives and established departmental and or Pine Rest Christian Mental Health Services policies and procedures, independently performs administrative duties related to billing, collection, accounts payable, accounting, and customer assistance. Our Account Representatives are dedicated to excellent customer service, enthusiastic about the care we offer, and foster a sense of belonging and empowerment in a diverse workplace.

Principal Duties and Responsibilities :

• Input data, monitor and run reports, process checks, balance information, verify information, file, sort, and send bills.
• Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment.
• Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims. Work with clinical areas to resolve rejections and determine collectability or need for adjustment. Process payment / claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage.
• Apply insurance and patient payments to accounts, monitoring for compliance with contractual agreements to assure appropriate reimbursement for services provided. Prepare and balance bank deposits.
• Answer patient questions regarding balances, make referrals to other areas as appropriate, i.e. clinical area, Patient Rights, etc. Create and maintain customer-friendly environment with internal and external customers.
• Establish payment arrangements within established guidelines.
• Review accounts to determine patient delinquency and initiate collection steps or refer to collection agency. Coordinate accounts and balances with collection agency.

What Does This Role Require?

Education / Experience :

What Benefits Do We Offer?

Medical, dental, vision & life insurance plans 403(b) retirement match contribution by Pine Rest Generous PTO for full and part time employees Tuition assistance & loan forgiveness Employee Assistance Program offering many free and discounted services for therapy, legal, accounting, gym membership, etc. Partnership with Davenport University provides generous discount on tuition for employees and family members.

Notice : Pine Rest provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. All new employees are subject to a criminal background check and education verification which may include sending a copy of your high school diploma, GED, or college transcripts. Successful completion of a drug screen prior to employment is also part of our background process.