Patient Account Rep
Martha's Vineyard Hospital, Oak Bluffs, MA, United States
Summary
As the Patient Accounts Representative, the primary purpose of your job, under the supervision of the Patient Accounts Director, is the timely and accurate filing and follow‑up of third‑party claims. Does this position require Patient Care? No Essential Functions
Ensure accurate billing for all patient accounts to maximize reimbursement for the hospital. Work with insurance companies to verify coverage, follow up on account status, and identify and resolve any account issues. Proficiently use the hospital computer module and various insurance websites to verify insurance, inquire on claim status, update patient insurance, and enter comments on accounts to maintain a complete historical record of all activities. Resolve account issues in a timely manner while documenting correspondence with patients. Respond to patient billing inquiries from both patients and insurance companies in a timely fashion via all communication tools (phone, fax, email, etc.) until all questions/issues are resolved. Understand the billing cycle, insurance coverage, and benefits, and convey this information to patients. Refer patients to the corporate customer service department for residual collection and/or payment plans. Accurately perform all billing functions: credit refunds, un‑billing, adding insurance, etc. Inform the Patient Accounts Director of any backlogs, delays in billing or correspondence, and any billing issues that cannot be resolved. Work in collaboration and maintain a good working relationship with all entities (e.g., physicians' office, ancillary departments, insurance representatives, etc.) to ensure all activities regarding patient accounts are complete, accurate, and timely. Maintain patient confidentiality. Follow MGB and MVH billing credit collection policies and procedures. Meet all MVH and MGB billing metrics. Maintain a neat and orderly workstation. Education
High School Diploma or Equivalent required; Associate's Degree in a related field of study preferred; other certificate/diploma in medical billing and coding preferred. Can this role accept experience in lieu of a degree? No Licenses and Credentials
Experience
2–3 years of previous billing experience in the health care industry in functions such as hospital or medical billing, claims processing, or similar industry experience, including PC/computer experience with working knowledge of all phases in billing procedures. 2–3 years required. Physical Requirements
Standing Occasionally (3–33%) Walking Occasionally (3–33%) Sitting Constantly (67–100%) Lifting Occasionally (3–33%) 20lbs–35lbs Carrying Occasionally (3–33%) 20lbs–35lbs Pushing Rarely (less than 2%) Pulling Rarely (less than 2%) Climbing Rarely (less than 2%) Balancing Occasionally (3–33%) Stooping Occasionally (3–33%) Kneeling Rarely (less than 2%) Crouching Rarely (less than 2%) Crawling Rarely (less than 2%) Reaching Occasionally (3–33%) Gross Manipulation (Handling) Constantly (67–100%) Fine Manipulation (Fingering) Frequently (34–66%) Feeling Constantly (67–100%) Foot Use Rarely (less than 2%) Vision – Far Constantly (67–100%) Vision – Near Constantly (67–100%) Talking Constantly (67–100%) Hearing Constantly (67–100%) Martha's Vineyard Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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As the Patient Accounts Representative, the primary purpose of your job, under the supervision of the Patient Accounts Director, is the timely and accurate filing and follow‑up of third‑party claims. Does this position require Patient Care? No Essential Functions
Ensure accurate billing for all patient accounts to maximize reimbursement for the hospital. Work with insurance companies to verify coverage, follow up on account status, and identify and resolve any account issues. Proficiently use the hospital computer module and various insurance websites to verify insurance, inquire on claim status, update patient insurance, and enter comments on accounts to maintain a complete historical record of all activities. Resolve account issues in a timely manner while documenting correspondence with patients. Respond to patient billing inquiries from both patients and insurance companies in a timely fashion via all communication tools (phone, fax, email, etc.) until all questions/issues are resolved. Understand the billing cycle, insurance coverage, and benefits, and convey this information to patients. Refer patients to the corporate customer service department for residual collection and/or payment plans. Accurately perform all billing functions: credit refunds, un‑billing, adding insurance, etc. Inform the Patient Accounts Director of any backlogs, delays in billing or correspondence, and any billing issues that cannot be resolved. Work in collaboration and maintain a good working relationship with all entities (e.g., physicians' office, ancillary departments, insurance representatives, etc.) to ensure all activities regarding patient accounts are complete, accurate, and timely. Maintain patient confidentiality. Follow MGB and MVH billing credit collection policies and procedures. Meet all MVH and MGB billing metrics. Maintain a neat and orderly workstation. Education
High School Diploma or Equivalent required; Associate's Degree in a related field of study preferred; other certificate/diploma in medical billing and coding preferred. Can this role accept experience in lieu of a degree? No Licenses and Credentials
Experience
2–3 years of previous billing experience in the health care industry in functions such as hospital or medical billing, claims processing, or similar industry experience, including PC/computer experience with working knowledge of all phases in billing procedures. 2–3 years required. Physical Requirements
Standing Occasionally (3–33%) Walking Occasionally (3–33%) Sitting Constantly (67–100%) Lifting Occasionally (3–33%) 20lbs–35lbs Carrying Occasionally (3–33%) 20lbs–35lbs Pushing Rarely (less than 2%) Pulling Rarely (less than 2%) Climbing Rarely (less than 2%) Balancing Occasionally (3–33%) Stooping Occasionally (3–33%) Kneeling Rarely (less than 2%) Crouching Rarely (less than 2%) Crawling Rarely (less than 2%) Reaching Occasionally (3–33%) Gross Manipulation (Handling) Constantly (67–100%) Fine Manipulation (Fingering) Frequently (34–66%) Feeling Constantly (67–100%) Foot Use Rarely (less than 2%) Vision – Far Constantly (67–100%) Vision – Near Constantly (67–100%) Talking Constantly (67–100%) Hearing Constantly (67–100%) Martha's Vineyard Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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