Patient Account Representative
Under general supervision of the Business Office Director, the Patient Account Representative administers a collections program for the collection of patient's accounts receivable; meets with patients daily to discuss financial obligation and will provide patient account services to include verifying patient insurance benefits/eligibility, create financial charts, obtain required patient signatures and collect any due patient charges; manages the computerization of collection systems; performs related duties as required. Work standards will be in accordance with facility policies and procedures, JCAHO, Federal and State regulations, Greenleaf Center's mission, and performance improvement standards. Performance Standards
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 duties as assigned Demonstrates Professionalism, Moral, Ethical Behavior and Work Values
Desirable Minimum Qualifications: High school diploma or equivalent required. Three or more years' prior admissions and or collections experience in a hospital setting required. Psychiatric experience preferred. Special Skills and Knowledge Requirements
Advanced knowledge of delinquent account collection methods; knowledge of accounts receivable and revenue accounting principles; ability to communicate effectively orally and in writing. Physical Requirements
Sitting for long periods of time with occasional standing and walking. Reaching Extending the hands and arms in any direction. Handling Seizing, holding, grasping, turning, or otherwise working with the hand or hands. Fingering Picking, pinching, and otherwise working with the fingers primarily. Feeling Perceiving such attributes of objects and materials as size, shape, temperature or texture by means of receptors in the skin, particularly those of the fingertips. Talking Expressing or exchanging ideas by means of the spoken word. Hearing Perceiving the nature of sounds by the ear. Seeing Obtaining impressions through the eyes of the shape, size, distance, motion, or other characteristics of objects. Qualifications Skills Required
Financial Awareness: Expert Communication: Advanced Attention to Detail: Advanced Customer Focus: Advanced Behaviors Preferred
Leader: Inspires teammates to follow them Enthusiastic: Shows intense and eager enjoyment and interest Dedicated: Devoted to a task or purpose with loyalty or integrity Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Motivations Preferred
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization Self-Starter: Inspired to perform without outside help Education Required
High School/GED or better Experience Preferred
1 year: Medical Billing Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Under general supervision of the Business Office Director, the Patient Account Representative administers a collections program for the collection of patient's accounts receivable; meets with patients daily to discuss financial obligation and will provide patient account services to include verifying patient insurance benefits/eligibility, create financial charts, obtain required patient signatures and collect any due patient charges; manages the computerization of collection systems; performs related duties as required. Work standards will be in accordance with facility policies and procedures, JCAHO, Federal and State regulations, Greenleaf Center's mission, and performance improvement standards. Performance Standards
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 duties as assigned Demonstrates Professionalism, Moral, Ethical Behavior and Work Values
Desirable Minimum Qualifications: High school diploma or equivalent required. Three or more years' prior admissions and or collections experience in a hospital setting required. Psychiatric experience preferred. Special Skills and Knowledge Requirements
Advanced knowledge of delinquent account collection methods; knowledge of accounts receivable and revenue accounting principles; ability to communicate effectively orally and in writing. Physical Requirements
Sitting for long periods of time with occasional standing and walking. Reaching Extending the hands and arms in any direction. Handling Seizing, holding, grasping, turning, or otherwise working with the hand or hands. Fingering Picking, pinching, and otherwise working with the fingers primarily. Feeling Perceiving such attributes of objects and materials as size, shape, temperature or texture by means of receptors in the skin, particularly those of the fingertips. Talking Expressing or exchanging ideas by means of the spoken word. Hearing Perceiving the nature of sounds by the ear. Seeing Obtaining impressions through the eyes of the shape, size, distance, motion, or other characteristics of objects. Qualifications Skills Required
Financial Awareness: Expert Communication: Advanced Attention to Detail: Advanced Customer Focus: Advanced Behaviors Preferred
Leader: Inspires teammates to follow them Enthusiastic: Shows intense and eager enjoyment and interest Dedicated: Devoted to a task or purpose with loyalty or integrity Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Motivations Preferred
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization Self-Starter: Inspired to perform without outside help Education Required
High School/GED or better Experience Preferred
1 year: Medical Billing Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.