Patient Account Representative Full-time
Acadia Healthcare, Riverside, CA, United States
Behavioral Health Claims Specialist
Pacific Grove Hospital in Riverside, CA, is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services. We offer a generous benefits package that includes the following: Competitive Salary Paid Time Off Paid Holidays (8 Total) Medical, Dental, & Vision Insurance FSA & HSA Plans Long-Term & Short-Term Disability Company Paid Life Insurance Supplemental Life Insurance Employee Assistance Program Employee Discount Program 401(k) Retirement Plan with Company Match Hourly pay range: $25-30 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. Education/Experience/Skill Requirements: High school diploma or equivalent required. Three or more years' prior admissions and or collections experience in a hospital setting required. Psychiatric experience preferred. Licenses/Designations/Certifications: Not applicable We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
Pacific Grove Hospital in Riverside, CA, is a leader in behavioral healthcare, providing superior healthcare treatment to the people, communities, and military installations we serve. We are a private inpatient 68 bed acute psychiatric facility with out-patient services, dedicated to the treatment of behavioral health and substance abuse services. We offer a generous benefits package that includes the following: Competitive Salary Paid Time Off Paid Holidays (8 Total) Medical, Dental, & Vision Insurance FSA & HSA Plans Long-Term & Short-Term Disability Company Paid Life Insurance Supplemental Life Insurance Employee Assistance Program Employee Discount Program 401(k) Retirement Plan with Company Match Hourly pay range: $25-30 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. Education/Experience/Skill Requirements: High school diploma or equivalent required. Three or more years' prior admissions and or collections experience in a hospital setting required. Psychiatric experience preferred. Licenses/Designations/Certifications: Not applicable We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.