Patient Account Representative

About the Role

Key Responsibilities

• 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 and 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.
• 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 understand appropriate course of action to take, initiating 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.

Requirements

• High school diploma or equivalent required.
• Three or more years' prior admissions and/or collections experience in a hospital setting required.
• Experience with claims review, correction, and rebilling processes.
• Ability to interpret explanation of benefits and manage patient accounts.
• Strong organizational and communication skills.

Nice to Have

• Psychiatric experience preferred.

Qualifications

• High school diploma or equivalent.